Healthcare Provider Details

I. General information

NPI: 1407000227
Provider Name (Legal Business Name): KEISHA ASHMEADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 OLD FORT PKWY
MURFREESBORO TN
37128-4162
US

IV. Provider business mailing address

1005 DR DB TODD JR BLVD EIGHT TOWER BRIDGE, SUITE 1400
NASHVILLE TN
37208-3501
US

V. Phone/Fax

Practice location:
  • Phone: 866-825-3227
  • Fax: 866-397-7399
Mailing address:
  • Phone: 615-327-5520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000013362
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: