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Individual

ASHLEY P STIDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
271 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 274-8600
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20368
TN
363LF0000X
Family Nurse Practitioner
0024195027
VA
363LF0000X
Family Nurse Practitioner
Primary
20368
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q018981
TN
Enumeration date
11/23/2015
Last updated
08/07/2026
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