Individual
ASHLEY MAE TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3625 MAIN ST, PIKEVILLE, TN 37367-5319
(423) 447-6287
Mailing address
PO BOX 308, BENTON, TN 37307-0308
(423) 338-2831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29715
TN
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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