Healthcare Provider Details

I. General information

NPI: 1871094284
Provider Name (Legal Business Name): ASHLEY NICOLE LAMB APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY NICOLE SPURLING APN

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 02/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 GOODWIN RD
CHATTANOOGA TN
37421-3182
US

IV. Provider business mailing address

7885 STEPPINGSTONE LN
OOLTEWAH TN
37363-9575
US

V. Phone/Fax

Practice location:
  • Phone: 423-894-3252
  • Fax:
Mailing address:
  • Phone: 423-309-6233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN0000022264
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: