Provider Demographics
NPI:1427243831
Name:DAVIS, ASHLEY POE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:POE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1992 COOKS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-5117
Mailing Address - Country:US
Mailing Address - Phone:423-967-4110
Mailing Address - Fax:
Practice Address - Street 1:7460 LEBANON CHURCH RD
Practice Address - Street 2:
Practice Address - City:TALBOTT
Practice Address - State:TN
Practice Address - Zip Code:37877-8940
Practice Address - Country:US
Practice Address - Phone:423-408-2826
Practice Address - Fax:423-839-2115
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007959367500000X
TN125141163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse