MEDICARE: MRS. ASHLIE SLOAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	19087	TN

General Provider Information

NPI Number	:	1609278993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLIE SLOAN

Provider Business Mailing Address
First Line	:	1436 W MAIN ST
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-1323
Country	:	US
Telephone Number	:	615-965-6108
Fax Number	:	877-504-1444

Provider Business Practice Location Address
First Line	:	1436 W MAIN ST
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-1323
Country	:	US
Telephone Number	:	615-965-6108
Fax Number	:	877-504-1444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2014
Last Update Date	:	02/18/2026

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Directions to “ MRS. ASHLIE SLOAN ” Practice Location

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