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General NPI Number Information
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NPI Number | 1225959174
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Entity Type | Individual
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Provider Name | ASHLEY MARIE EVANS
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 3960 NEW COVINGTON PIKE
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City | MEMPHIS
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State | TN
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Zip | 38128-2589
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Country | US
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Telephone | 901-516-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 20 ZINNIA CV
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City | SOMERVILLE
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State | TN
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Zip | 38068-6230
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Country | US
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Telephone | 901-509-1839
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 214849
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License Number State | TN
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