Provider Demographics
NPI:1033989132
Name:NICHOLS, ASHLEY EVETTE (CPHT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:EVETTE
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 BELL RD APT 1923
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-5909
Mailing Address - Country:US
Mailing Address - Phone:615-618-4340
Mailing Address - Fax:
Practice Address - Street 1:1310 24TH AVE S # 1923
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-327-4751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician