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NPI Code Detail

MEDICARE: MRS. ASHLEY THOMAS ASHFORD FNP-C

MEDICARE: MRS. ASHLEY THOMAS ASHFORD FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner22385SC

General Provider Information

NPI Number : 1356803563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY THOMAS ASHFORD FNP-C
Provider Business Mailing Address
First Line : PO BOX 470408
Second Line :
City : CHARLOTTE
State : NC
Zip : 28247-0408
Country : US
Telephone Number : 704-375-0100
Fax Number :
Provider Business Practice Location Address
First Line : 1061 RED VENTURES DR STE 130
Second Line :
City : FORT MILL
State : SC
Zip : 29707-2516
Country : US
Telephone Number : 704-375-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2019
Last Update Date : 05/04/2026

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Directions to “ MRS. ASHLEY THOMAS ASHFORD FNP-C” Practice Location

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