Healthcare Provider Details

I. General information

NPI: 1902712623
Provider Name (Legal Business Name): CALLOWAY HIGHER HEALING HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 S MAIN ST STE 103
SPRINGFIELD TN
37172-2809
US

IV. Provider business mailing address

719 S MAIN ST STE 103
SPRINGFIELD TN
37172-2809
US

V. Phone/Fax

Practice location:
  • Phone: 615-838-2968
  • Fax:
Mailing address:
  • Phone: 615-838-2968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY CALLOWAY
Title or Position: AUTHORIZED OFFICIAL/EMPLOYEE
Credential: FNP-C
Phone: 615-838-2968