Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 3951 | TN |
NPI | 1295266906 |
---|---|
Provider Name | Ashlee Christmas |
First Address | Louisville, KY 40202-3818 |
Second Address | Memphis, TN 38163-3818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2017 |
Last Update Date | 17/06/2020 |