Healthcare Provider Details

I. General information

NPI: 1508587908
Provider Name (Legal Business Name): MEGAN ASHLEY WHITE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 TANNER WAY STE 200
HARRIMAN TN
37748-8332
US

IV. Provider business mailing address

202 HIGH POINTE VILLAGE WAY
KINGSTON TN
37763-7008
US

V. Phone/Fax

Practice location:
  • Phone: 865-376-6272
  • Fax: 865-374-2100
Mailing address:
  • Phone: 865-466-4122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32132
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: