Provider Demographics
NPI:1033712195
Name:BROWN, ASHLEE (MSN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 STATE LINE RD
Mailing Address - Street 2:
Mailing Address - City:MENLO
Mailing Address - State:GA
Mailing Address - Zip Code:30731-6017
Mailing Address - Country:US
Mailing Address - Phone:678-848-0933
Mailing Address - Fax:
Practice Address - Street 1:1635 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-1024
Practice Address - Country:US
Practice Address - Phone:423-413-6195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN258479363LP0808X, 163W00000X
TNAPN0000033013363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse