Individual
ASHLEY RACHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5613
Mailing address
1705 W LAKEVIEW DR APT 2, JOHNSON CITY, TN 37601-2168
(423) 342-9892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0000004615
TN
363AS0400X
Surgical Physician Assistant
Primary
4615
TN
Other
Enumeration date
09/15/2021
Last updated
10/23/2024
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