Healthcare Provider Details

I. General information

NPI: 1689080228
Provider Name (Legal Business Name): ASHLEY L. DAVIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY L. OWENS

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2117 N CHARLES ST
BALTIMORE MD
21218-5763
US

IV. Provider business mailing address

8110 GATEHOUSE RD SUITE 300 W
FALLS CHURCH VA
22042
US

V. Phone/Fax

Practice location:
  • Phone: 443-869-6867
  • Fax:
Mailing address:
  • Phone: 703-289-8655
  • Fax: 703-204-3346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberR240968
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR240968
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: