Provider Demographics
NPI:1184334807
Name:HARBISON, ASHLEY H (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:H
Last Name:HARBISON
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 STEAM PLANT RD STE 310
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3089
Mailing Address - Country:US
Mailing Address - Phone:615-451-9200
Mailing Address - Fax:615-451-1246
Practice Address - Street 1:300 STEAM PLANT RD STE 310
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3089
Practice Address - Country:US
Practice Address - Phone:615-451-9200
Practice Address - Fax:615-451-1246
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN363A00000X, 390200000X
TN5466363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program