Provider Demographics
NPI:1740237932
Name:BRUCE, ASHLEY K (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:K
Last Name:BRUCE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:11130 KINGSTON PIKE
Practice Address - Street 2:SUITE 7&8
Practice Address - City:FARRAGUT
Practice Address - State:TN
Practice Address - Zip Code:37934-2865
Practice Address - Country:US
Practice Address - Phone:865-675-1953
Practice Address - Fax:865-675-0877
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2013-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN 11640363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3706633OtherMEDICARE LEGACY GROUP
Q67353Medicare UPIN
TN36428521Medicare PIN