Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 22957 | TN |
NPI | 1205353224 |
---|---|
Provider Name | Ashley Williford |
First Address | Memphis, TN 38157-0800 |
Second Address | Memphis, TN 38157-0800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2017 |
Last Update Date | 17/03/2018 |