Healthcare Provider Details

I. General information

NPI: 1679251425
Provider Name (Legal Business Name): ASHLEY MICHELLE TURUCZ AGPCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5109 BRAINERD RD
CHATTANOOGA TN
37411-3906
US

IV. Provider business mailing address

6200 HIXSON PIKE APT 310
HIXSON TN
37343-5750
US

V. Phone/Fax

Practice location:
  • Phone: 423-777-5900
  • Fax:
Mailing address:
  • Phone: 331-222-6759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2023004684
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number11034262
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number40149
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: