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General NPI Number Information
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NPI Number | 1205533320
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Entity Type | Individual
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Provider Name | ASHELY NICOLE RALEY APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 7625 CHAPMAN HWY STE 107
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City | KNOXVILLE
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State | TN
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Zip | 37920-2353
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Country | US
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Telephone | 865-983-1310
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Fax |
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Provider Business Mailing Address
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Address Line | 2975 MAYNARDVILLE HWY
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City | MAYNARDVILLE
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State | TN
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Zip | 37807-3262
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Country | US
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Telephone | 865-658-5353
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33354
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 203823
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License Number State | TN
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