Healthcare Provider Details

I. General information

NPI: 1912552316
Provider Name (Legal Business Name): ASHLEE P SNAPP FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2019
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MED TECH PKWY STE 240
JOHNSON CITY TN
37604-2641
US

IV. Provider business mailing address

PO BOX 632476
CINCINNATI OH
45263-2476
US

V. Phone/Fax

Practice location:
  • Phone: 423-794-5520
  • Fax: 423-282-6940
Mailing address:
  • Phone: 423-794-5520
  • Fax: 423-282-6940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26229
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26229
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: