Provider Demographics
NPI:1568005544
Name:CARTER, ASHLYN ELIZABETH (RD,LD)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:ELIZABETH
Last Name:CARTER
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 JOY ALFORD WAY
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-3047
Mailing Address - Country:US
Mailing Address - Phone:615-735-0242
Mailing Address - Fax:
Practice Address - Street 1:251 JOY ALFORD WAY
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-3047
Practice Address - Country:US
Practice Address - Phone:615-735-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000003703133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered