Individual provider Active NPI

Ashley L Jenkins, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brighton, TN
National Provider Identifier
1710559307
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32786 Issued in TN
Practice address
8440 Highway 51 S Ste B
Brighton, TN 38011-8018
Phone
(901) 441-6448
Fax
(901) 432-6058
NPI assigned
Jul 13, 2021
Reactivated
Feb 7, 2023
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904799 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904799 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32786 TN Primary
Registered Nurse 163W00000X 897870 MS

Addresses

Primary practice location

8440 Highway 51 S Ste B
Brighton, TN 38011-8018

Mailing address

8440 Highway 51 S Ste B
Brighton, TN 38011-8018
Phone (901) 441-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711001058 TN Practitioner - Nurse Practitioner 7810392834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8440 Hwy 51 S
Suite B
Brighton, TN 38011-8018
Phone (901) 486-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
897870MSMDRegistered Nurse
904799MSMDPsychiatric/Mental Health Nurse Practitioner
32786TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMK Enterprises Psychiatric/Mental Health CurrentSince Aug 17, 2021 Accepting new patients
Tipton Psychiatry Psychiatric/Mental Health CurrentSince May 28, 2023 Accepting new patients
Heale Counseling, LLC Psychiatric/Mental Health PastSince Jul 1, 2021 Accepting new patients

Locations

1305 City Ave N
Ripley, MS 38663
Phone (662) 372-3495

5699 Getwell Rd
Bldg F4
Southaven, MS 38672
Phone (662) 372-3495

8440 Highway 51 S
Ste B
Brighton, TN 38011
Phone (901) 486-0777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1710559307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 HIGHWAY 51 S STE B",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380118018",
            "telephone_number": "901-441-6448",
            "fax_number": "901-432-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 HIGHWAY 51 S STE B",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380118018",
            "telephone_number": "901-441-6448",
            "fax_number": "901-432-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "deactivation_date": "2023-01-31",
        "reactivation_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904799",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904799",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32786",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "897870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, TN

Sources for this page

Verify at the official NPI Registry.