MEDICARE: ASHLEY NICOLE MITCHELL FNP-BC

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	24079	TN
2	163W00000X	Registered Nurse	189453	TN

General Provider Information

NPI Number	:	1346747839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NICOLE MITCHELL FNP-BC

Provider Business Mailing Address
First Line	:	900 E HILL AVE STE 230
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37915-2565
Country	:	US
Telephone Number	:	865-862-0998
Fax Number	:	865-544-1861

Provider Business Practice Location Address
First Line	:	7560 DANNAHER DR STE 100
Second Line	:
City	:	POWELL
State	:	TN
Zip	:	37849-4037
Country	:	US
Telephone Number	:	865-512-2226
Fax Number	:	865-584-6384

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	03/11/2026

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