Individual
ASHTON MICHELLE AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1186 S US HIGHWAY 45 BYP, JACKSON, TN 38301-3256
(731) 879-0683
Mailing address
1186 HWY 45 BYPASS STE D, JACKSON, TN 38301-3256
(731) 260-2944
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
254994
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
41028
TN
Other
Enumeration date
01/08/2026
Last updated
02/27/2026
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