Healthcare Provider Details

I. General information

NPI: 1326938457
Provider Name (Legal Business Name): ASHLEY DUPRE APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 W DR MARTIN LUTHER KING JR BLVD STE 202
TAMPA FL
33603-3338
US

IV. Provider business mailing address

812 W DR MARTIN LUTHER KING JR BLVD STE 202
TAMPA FL
33603-3338
US

V. Phone/Fax

Practice location:
  • Phone: 412-525-1874
  • Fax:
Mailing address:
  • Phone: 412-525-1874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number9540134
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11041058
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: