Mobile Healing LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MOBILE HEALING LLC

Practice address

4903 Bruceville Slab Rd
Friendship, TN 38034-4325

Phone

(731) 676-0393

Fax

(731) 256-6981

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Brooke Blalock, FNPNPI 1679931414

Title

Owner

Phone

(731) 676-0393

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Blalock

  • Primary Care Nurse Practitioner
  • Friendship, TN
  • NPI 1679931414
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1750921003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380630437",
            "telephone_number": "731-676-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 BRUCEVILLE SLAB RD",
            "city": "FRIENDSHIP",
            "state": "TN",
            "postal_code": "380344325",
            "telephone_number": "731-676-0393",
            "fax_number": "731-256-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-676-0393",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Gateley Creekmore, FNP
• Madelyne Ellis, FNP
• Hamilton York Haley, D.PH.
• Hamilton York Haley
• Madison Transport
• Moore Medical Clinic LLC
• Phyllis P Moore, DNP,FNP-BC
• William Williams

• Primary Care Nurse Practitioner in Friendship, TN
• Providers in Friendship, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.