Healthcare Provider Details

I. General information

NPI: 1518694710
Provider Name (Legal Business Name): ASHLEE WESCOTT HARRIS NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2022
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 WATERS AVE STE 206
SAVANNAH GA
31404-6278
US

IV. Provider business mailing address

113 NIGHTHAWK LN
PALM COAST FL
32164-2367
US

V. Phone/Fax

Practice location:
  • Phone: 912-350-5915
  • Fax:
Mailing address:
  • Phone: 302-650-8938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN9442063
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberGAA-NP001095
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: