Healthcare Provider Details

I. General information

NPI: 1386322774
Provider Name (Legal Business Name): ASHLEY DAWN WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6216 HIGHLAND PLACE WAY STE 102
KNOXVILLE TN
37919-4068
US

IV. Provider business mailing address

PO BOX 653
PLEASANT VIEW TN
37146-0653
US

V. Phone/Fax

Practice location:
  • Phone: 865-470-6121
  • Fax: 866-549-5151
Mailing address:
  • Phone: 615-686-0504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number34226
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: