Healthcare Provider Details

I. General information

NPI: 1427819697
Provider Name (Legal Business Name): ASHLEY MARIE STEVENS RN, CLC, DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 SE MARICAMP RD
OCALA FL
34480-7417
US

IV. Provider business mailing address

59 GUAVA TRL
OCKLAWAHA FL
32179-5568
US

V. Phone/Fax

Practice location:
  • Phone: 352-812-9127
  • Fax:
Mailing address:
  • Phone: 352-812-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number9587256
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number202311266
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: