Provider Demographics
NPI:1639891237
Name:YOUNT, ASHLY C (FNP)
Entity type:Individual
Prefix:
First Name:ASHLY
Middle Name:C
Last Name:YOUNT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 HIGHWAY 66 S STE 1
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-5197
Mailing Address - Country:US
Mailing Address - Phone:423-817-3542
Mailing Address - Fax:
Practice Address - Street 1:3815 HIGHWAY 66 S STE 1
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-5197
Practice Address - Country:US
Practice Address - Phone:423-817-3542
Practice Address - Fax:423-717-5562
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily