Healthcare Provider Details

I. General information

NPI: 1477244549
Provider Name (Legal Business Name): ASHLEY NICOLE ATKINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 KENDRICK FARM DR
MOUNT HOLLY NC
28120-9480
US

IV. Provider business mailing address

112 KENDRICK FARM DR
MOUNT HOLLY NC
28120-9480
US

V. Phone/Fax

Practice location:
  • Phone: 704-898-4868
  • Fax: 704-898-4868
Mailing address:
  • Phone: 704-898-4868
  • Fax: 704-898-4868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5018115
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018115
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: