Provider Demographics
NPI:1336444827
Name:REED, ASHLEY NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:REED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8229 JIM CUMMINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BRADYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37026-5410
Mailing Address - Country:US
Mailing Address - Phone:615-765-5922
Mailing Address - Fax:
Practice Address - Street 1:301 W MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-1100
Practice Address - Country:US
Practice Address - Phone:615-563-4243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000145432163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse