Provider Demographics
NPI:1861762767
Name:TATE, ASHLEY NICOLE (NP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:TATE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:159 OMNI DR STE 1
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-0303
Practice Address - Country:US
Practice Address - Phone:931-815-8800
Practice Address - Fax:931-815-8808
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2025-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN16332363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology