Provider Demographics
NPI:1902492184
Name:EARLS, ASHLEY LYNN
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:EARLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 COUNTY ROAD 225
Mailing Address - Street 2:
Mailing Address - City:NIOTA
Mailing Address - State:TN
Mailing Address - Zip Code:37826-2115
Mailing Address - Country:US
Mailing Address - Phone:423-333-6983
Mailing Address - Fax:
Practice Address - Street 1:486 COUNTY ROAD 225
Practice Address - Street 2:
Practice Address - City:NIOTA
Practice Address - State:TN
Practice Address - Zip Code:37826-2115
Practice Address - Country:US
Practice Address - Phone:423-333-6983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-12
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide