Individual
ASHLEA A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-9718
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-9718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150520
TN
363LF0000X
Family Nurse Practitioner
Primary
14859
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08933723
—
MS
05
—
1519202
—
TN
01
—
4268462
TN BCBS
TN
Enumeration date
04/08/2010
Last updated
02/24/2011
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