MEDICARE: MARTINA ASHMORE

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	363LF0000X	Family Nurse Practitioner	APN0000021037	TN

General Provider Information

NPI Number	:	1821459942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTINA ASHMORE

Provider Business Mailing Address
First Line	:	9755 HIGHWAY 64 STE 101
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-8395
Country	:	US
Telephone Number	:	901-388-8887
Fax Number	:	901-388-8208

Provider Business Practice Location Address
First Line	:	9755 HIGHWAY 64 STE 101
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-8395
Country	:	US
Telephone Number	:	901-388-8887
Fax Number	:	901-388-8208

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

Provider Enumeration Date	:	03/17/2016
Last Update Date	:	03/17/2016

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Directions to “ MARTINA ASHMORE ” Practice Location

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