Healthcare Provider Details

I. General information

NPI: 1245574326
Provider Name (Legal Business Name): ELIZABETH ASHLEY HEFNER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 EICHENFELD DR SUITE 101
BRANDON FL
33511-5994
US

IV. Provider business mailing address

8 N BROAD ST E STE 201
ANGIER NC
27501-5638
US

V. Phone/Fax

Practice location:
  • Phone: 813-685-7716
  • Fax:
Mailing address:
  • Phone: 919-375-8392
  • Fax: 919-460-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9322378
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP9322378
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5007214
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: