Provider Demographics
NPI:1083094684
Name:COOPER, ASHLEE (CRNP)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 CENTURY OAKS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-3652
Mailing Address - Country:US
Mailing Address - Phone:787-527-2466
Mailing Address - Fax:423-761-0540
Practice Address - Street 1:6005 CENTURY OAKS DR STE 300
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-3652
Practice Address - Country:US
Practice Address - Phone:678-752-7246
Practice Address - Fax:423-761-0540
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily