Healthcare Provider Details

I. General information

NPI: 1942988720
Provider Name (Legal Business Name): ASHLEIGH C MOSIER APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 09/02/2023
Certification Date: 09/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 MCFARLAND ST
MORRISTOWN TN
37814-3977
US

IV. Provider business mailing address

711 MCFARLAND ST
MORRISTOWN TN
37814-3977
US

V. Phone/Fax

Practice location:
  • Phone: 423-317-7412
  • Fax:
Mailing address:
  • Phone: 423-317-7412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number34097
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number0000034097
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: