Healthcare Provider Details

I. General information

NPI: 1487314662
Provider Name (Legal Business Name): ASHLEY J HORN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 NW FEDERAL HWY
STUART FL
34994-9303
US

IV. Provider business mailing address

1951 NW FEDERAL HWY
STUART FL
34994-9303
US

V. Phone/Fax

Practice location:
  • Phone: 772-486-6596
  • Fax: 772-419-4284
Mailing address:
  • Phone: 772-486-6596
  • Fax: 772-419-4284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11017040
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: