Healthcare Provider Details

I. General information

NPI: 1902660426
Provider Name (Legal Business Name): ASHLEE ELIZABETH HARRELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 N BELAIR RD STE 101
EVANS GA
30809-3091
US

IV. Provider business mailing address

677 WELLINGTON DR
EVANS GA
30809-5811
US

V. Phone/Fax

Practice location:
  • Phone: 706-854-2222
  • Fax:
Mailing address:
  • Phone: 706-288-4294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP287157
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: