Blalock, Ashley

Blalock, Ashley is an individual health care provider with primary practice located at 4903 Bruceville Slab Rd , Friendship TN 38034-4325. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Blalock, Ashley can be contacted via phone (731) 676-0393.

Contact Information

Primary practice address
4903 Bruceville Slab Rd Friendship TN 38034-4325
Phone: (731) 676-0393
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21250 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 21250 Tennessee

Profile Details

NPI number 1679931414
LBN Legal business name Blalock, Ashley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2016
Last updated Apr 15th, 2022 - about 2 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 1679931414 NPPES
Tennessee MEDICAID 1679931414

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