Healthcare Provider Details

I. General information

NPI: 1033068416
Provider Name (Legal Business Name): ASHLEIGH LYNN CLINE APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 ANDREWS WAY
SAINT MARYS GA
31558-1660
US

IV. Provider business mailing address

2544 HORSESHOE COVE RD
WAVERLY GA
31565-2187
US

V. Phone/Fax

Practice location:
  • Phone: 912-729-7007
  • Fax:
Mailing address:
  • Phone: 772-607-0087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP310621
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: