Healthcare Provider Details

I. General information

NPI: 1457804551
Provider Name (Legal Business Name): ELIZABETH ASHLEY COLLINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2016
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 EDENS RD
AFTON TN
37616
US

IV. Provider business mailing address

750 EDENS RD
AFTON TN
37616-5801
US

V. Phone/Fax

Practice location:
  • Phone: 423-798-1749
  • Fax: 423-798-1754
Mailing address:
  • Phone: 423-798-1749
  • Fax: 423-798-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number182225
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number35761
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: