Provider Demographics
NPI:1356618987
Name:WILLIAMS, ASHLEY KIRKPATRICK (PNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KIRKPATRICK
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:ASHLEY
Other - Last Name:KIRKPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:927 COILE RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760-4011
Mailing Address - Country:US
Mailing Address - Phone:865-712-2737
Mailing Address - Fax:
Practice Address - Street 1:1817 W MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-2837
Practice Address - Country:US
Practice Address - Phone:423-581-3904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16168364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics