Healthcare Provider Details

I. General information

NPI: 1598687329
Provider Name (Legal Business Name): ASHLEY TYLER HALE RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W POPLAR AVE
COLLIERVILLE TN
38017-0601
US

IV. Provider business mailing address

1512 PAINTED HORSE PASS
COLLIERVILLE TN
38017-2451
US

V. Phone/Fax

Practice location:
  • Phone: 901-861-8700
  • Fax:
Mailing address:
  • Phone: 901-828-9555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number235234
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: