Provider Demographics
NPI:1205429321
Name:HANVEY, ASHLEIGH MORGAN
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:MORGAN
Last Name:HANVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 BRANCH ST # B
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3910
Mailing Address - Country:US
Mailing Address - Phone:256-293-9369
Mailing Address - Fax:
Practice Address - Street 1:1607 WESTGATE CIR STE 200
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8077
Practice Address - Country:US
Practice Address - Phone:615-376-8195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-162488163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse