Provider Demographics
NPI:1528621919
Name:BUSH, ASHLEY CHARLTON (APRN)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:CHARLTON
Last Name:BUSH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:RUTH
Other - Last Name:CHARLTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:201 JORDAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4495
Mailing Address - Country:US
Mailing Address - Phone:615-758-4100
Mailing Address - Fax:615-758-5450
Practice Address - Street 1:2020 JOHNSON INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9773
Practice Address - Country:US
Practice Address - Phone:615-776-1011
Practice Address - Fax:615-776-2410
Is Sole Proprietor?:No
Enumeration Date:2019-04-21
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC241245163W00000X
TN205627163W00000X
TN33993363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse