Healthcare Provider Details

I. General information

NPI: 1437711470
Provider Name (Legal Business Name): ASHLEY MANUS GLASER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2019
Last Update Date: 01/04/2022
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N THOMPSON LN STE 1H
MURFREESBORO TN
37129-4340
US

IV. Provider business mailing address

330 23RD AVE N STE 250
NASHVILLE TN
37203-6514
US

V. Phone/Fax

Practice location:
  • Phone: 615-553-5000
  • Fax: 615-758-3875
Mailing address:
  • Phone: 615-342-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26096
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26096
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: