Healthcare Provider Details

I. General information

NPI: 1740622281
Provider Name (Legal Business Name): ALESHA CARROLL MCCONNELL-CARMONY P.A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7175 NOLENSVILLE RD STE 202
NOLENSVILLE TN
37135-9656
US

IV. Provider business mailing address

7175 NOLENSVILLE RD STE 202
NOLENSVILLE TN
37135-9656
US

V. Phone/Fax

Practice location:
  • Phone: 615-977-9107
  • Fax: 615-825-0224
Mailing address:
  • Phone: 615-977-9107
  • Fax: 615-825-0224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2276
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: