Provider Demographics
NPI:1396008223
Name:ASHBY, TOMMIE (RN, MSN, CLNC)
Entity Type:Individual
Prefix:
First Name:TOMMIE
Middle Name:
Last Name:ASHBY
Suffix:
Gender:F
Credentials:RN, MSN, CLNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19022 HICKORY BAY CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-1821
Mailing Address - Country:US
Mailing Address - Phone:225-755-3045
Mailing Address - Fax:225-925-7245
Practice Address - Street 1:7173A FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4549
Practice Address - Country:US
Practice Address - Phone:225-925-7200
Practice Address - Fax:225-925-7245
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN82907163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health