IndividualActive
Ashley Roberts, PA
NPI 1558031047 · Surgical Physician Assistant · Kingsport, TN
Provider details
- NPI number
- 1558031047
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA0000004615 (TN)
Mailing address
1705 W Lakeview Dr Apt 2
Johnson City, TN 37601-2168
Registry dates
- Enumerated
- 2021-09-15
- Last updated
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.