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 3 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