Individual ProviderAshley L HaunNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2201 Clinch Avenue, Knoxville, TN 37916(865) 525-0228PECOS EnrollmentBased on the most recent information from CMS, provider Ashley L Haun does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1275151557Provider TypeIndividualFull NameHaun, Ashley LTitleMrs.CredentialCFNPGenderFemaleSole ProprietorNoEnumeration Date7/13/2020Last Updated10/28/2022Contact InformationPractice LocationPractice Address2201 Clinch Avenue, Knoxville, TN 37916Phone(865) 525-0228Fax(865) 525-0285Mailing LocationMailing Address2201 Clinch Avenue, Knoxville, TN 37916Phone(865) 525-0228Fax(865) 525-0285Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense29791TennesseeCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense167509TennesseeCode163WG0000XDescriptionRegistered NurseNursing Service ProvidersLicense0000167509TennesseeProvider IdentifiersIDDescriptionIssuerIDQ068586DescriptionMedicaidIssuerUnlistedTennessee