Individual
ASHLEY NICOLE SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-3834
Mailing address
66 COY CT, JOHNSON CITY, TN 37615-3097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000023001
LICENSE
TN
Enumeration date
07/13/2017
Last updated
12/01/2025
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