Individual
ASHLEY SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 TAZEWELL RD STE 203, TAZEWELL, TN 37879-3648
(423) 626-6260
Mailing address
513 N 25TH ST, MIDDLESBORO, KY 40965-2108
(606) 670-0405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26908
TN
363LF0000X
Family Nurse Practitioner
3013772
KY
Other
Enumeration date
12/10/2019
Last updated
12/11/2019
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