Healthcare Provider Details

I. General information

NPI: 1841661865
Provider Name (Legal Business Name): ASHLEY ELIZABETH PRESLEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ELIZABETH CHAMNESS FNP-BC

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 14TH AVE SE STE 200
DECATUR AL
35601-3354
US

IV. Provider business mailing address

PO BOX 18428
HUNTSVILLE AL
35804-8428
US

V. Phone/Fax

Practice location:
  • Phone: 256-705-4224
  • Fax: 256-705-4135
Mailing address:
  • Phone: 256-705-4224
  • Fax: 256-705-4135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-120317
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: