Ailey, Vanessa L

Ailey, Vanessa L is an individual health care provider with primary practice located at 301 Med Tech Pkwy Suite 200, Johnson City TN 37604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ailey, Vanessa L can be contacted via phone (423) 794-1300.

Contact Information

Primary practice address
301 Med Tech Pkwy Suite 200 Johnson City TN 37604
Phone: (423) 794-1300
Fax: (423) 794-1820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 18851 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 19137 South Carolina

Profile Details

NPI number 1265838650
LBN Legal business name Ailey, Vanessa L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2014
Last updated Mar 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265838650 NPPES
Tennessee MEDICAID Q024375

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