Basic Information
| Provider Information | |||||||||
| NPI: | 1356618987 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | KIRKPATRICK | ||||||||
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| Credential: | PNP | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | KIRKPATRICK | ||||||||
| OtherFirstName: | FRANCES | ||||||||
| OtherMiddleName: | ASHLEY | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 927 COILE RD | ||||||||
| Address2: | |||||||||
| City: | JEFFERSON CITY | ||||||||
| State: | TN | ||||||||
| PostalCode: | 377604011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8657122737 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1817 W MORRIS BLVD | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378132837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4235813904 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2011 | ||||||||
| LastUpdateDate: | 11/28/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SP0200X | 16168 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Pediatrics |
No ID Information.