Provider Demographics
NPI:1649768714
Name:NEWELL, ASHDEN DENENE (RDMS)
Entity type:Individual
Prefix:
First Name:ASHDEN
Middle Name:DENENE
Last Name:NEWELL
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 ROXBURY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-1682
Mailing Address - Country:US
Mailing Address - Phone:256-460-7761
Mailing Address - Fax:
Practice Address - Street 1:73 ROXBURY DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-1682
Practice Address - Country:US
Practice Address - Phone:256-460-7761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1475802085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound