Most Relevant Information
Provider Data
| NPI Number: | 1003542309 |
| Provider Name: | ASHLEY CAROLIN SHANTELLE HENRY |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2022 |
| Last Updated: | 07/28/2022 |
Provider Practice Location
2202 MARTIN LUTHER KING JR AVE
KNOXVILLE
TN
379151570
Practice Location Phone/Fax
| Phone: | 8655226097 |
| Fax: | 8655401615 |
Provider Mailing Location
1923 SULPHUR SPRINGS RD
MORRISTOWN
TN
378135654
Provider Mailing Phone/Fax
| Phone: | 4233179344 |
| Fax: | 4237142355 |