Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 24224 | TN |
N | 363LA2200X | Nurse Practitioner - Adult Health | 6071-33 | WI |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 24224 | TN |
N | 363LG0600X | Nurse Practitioner - Gerontology | 6071-33 | WI |
N | 363LP2300X | Nurse Practitioner - Primary Care | 24224 | TN |
NPI | 1073917423 |
---|---|
Provider Name | Ashley Blye |
First Address | Nashville, TN 37204-3609 |
Second Address | Nashville, TN 37232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2014 |
Last Update Date | 15/10/2020 |