Healthcare Provider Details

I. General information

NPI: 1386421030
Provider Name (Legal Business Name): ASHLEY EPPERLY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 ALCOA HWY STE C470
KNOXVILLE TN
37920-1572
US

IV. Provider business mailing address

1237 EDENBRIDGE WAY
KNOXVILLE TN
37923-6617
US

V. Phone/Fax

Practice location:
  • Phone: 865-971-3539
  • Fax: 865-971-3069
Mailing address:
  • Phone: 865-209-7179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberINPROCESS
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number310628
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: