Healthcare Provider Details

I. General information

NPI: 1407668304
Provider Name (Legal Business Name): ASHLEY HOBSON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 COVINGTON PIKE
MEMPHIS TN
38128-8090
US

IV. Provider business mailing address

178 JOHNSBOROUGH DR
ATOKA TN
38004-7721
US

V. Phone/Fax

Practice location:
  • Phone: 901-252-6066
  • Fax: 901-252-6066
Mailing address:
  • Phone: 901-252-6066
  • Fax: 901-384-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number38027
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: