Healthcare Provider Details

I. General information

NPI: 1356618987
Provider Name (Legal Business Name): ASHLEY KIRKPATRICK WILLIAMS PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCES ASHLEY KIRKPATRICK

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 W MORRIS BLVD
MORRISTOWN TN
37813-2837
US

IV. Provider business mailing address

927 COILE RD
JEFFERSON CITY TN
37760-4011
US

V. Phone/Fax

Practice location:
  • Phone: 423-581-3904
  • Fax:
Mailing address:
  • Phone: 865-712-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License Number16168
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: