Provider Demographics
NPI:1245791201
Name:SARTAIN, ASHLEY ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:SARTAIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26842 SR 108
Mailing Address - Street 2:
Mailing Address - City:COALMONT
Mailing Address - State:TN
Mailing Address - Zip Code:37313-2433
Mailing Address - Country:US
Mailing Address - Phone:931-636-4786
Mailing Address - Fax:
Practice Address - Street 1:26842 SR 108
Practice Address - Street 2:
Practice Address - City:COALMONT
Practice Address - State:TN
Practice Address - Zip Code:37313-2433
Practice Address - Country:US
Practice Address - Phone:931-636-4786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-30
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25741363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner