Healthcare Provider Details

I. General information

NPI: 1003204462
Provider Name (Legal Business Name): ASHLEY NICOLE BRIGGS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 PINNACLES DR STE 1
PALM COAST FL
32164-2322
US

IV. Provider business mailing address

2777 ENTERPRISE RD STE 4
ORANGE CITY FL
32763-8310
US

V. Phone/Fax

Practice location:
  • Phone: 386-231-6549
  • Fax: 386-231-6550
Mailing address:
  • Phone: 386-774-2550
  • Fax: 386-774-5140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9288126
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 9288126
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: