MEDICARE: MRS. ASHLEY NICOLE MCCAULEY APRN, 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	1125185	KY
2	363LF0000X	Family Nurse Practitioner	3008951	KY

General Provider Information

NPI Number	:	1477951168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY NICOLE MCCAULEY APRN, FNP-BC

Provider Business Mailing Address
First Line	:	2620 ELM HILL PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3108
Country	:	US
Telephone Number	:	615-425-4200
Fax Number	:	615-425-4268

Provider Business Practice Location Address
First Line	:	5533 NEW CUT RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40214
Country	:	US
Telephone Number	:	502-364-2770
Fax Number	:	502-364-2771

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

Provider Enumeration Date	:	12/11/2014
Last Update Date	:	06/20/2018

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