MEDICARE: MRS. ASHLYN NICHOLE FOWLER APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	37534	TN
2	363LF0000X	Family Nurse Practitioner	37534	TN

General Provider Information

NPI Number	:	1255153334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLYN NICHOLE FOWLER APN

Provider Business Mailing Address
First Line	:	137 OBRIEN DR
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-8749
Country	:	US
Telephone Number	:	931-484-2220
Fax Number	:	931-484-2225

Provider Business Practice Location Address
First Line	:	137 OBRIEN DR
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-8749
Country	:	US
Telephone Number	:	931-484-2220
Fax Number	:	931-484-2225

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	06/05/2026

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Directions to “ MRS. ASHLYN NICHOLE FOWLER APN” Practice Location

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