Healthcare Provider Details

I. General information

NPI: 1962006817
Provider Name (Legal Business Name): ASHLEE NADARA PIERCE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2020
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5854 STATE ST
KINGSTON MI
48741-9524
US

IV. Provider business mailing address

6263 ROBINSON RD
CASS CITY MI
48726-9604
US

V. Phone/Fax

Practice location:
  • Phone: 989-683-8065
  • Fax: 989-683-8088
Mailing address:
  • Phone: 989-971-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704296912
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: