Healthcare Provider Details

I. General information

NPI: 1225217672
Provider Name (Legal Business Name): ASHLEY MICHELLE ISAAC-DOCKERY ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY M ISAAC APRN--BC

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 WENDOVER HEIGHTS DR
SHELBY NC
28150-3565
US

IV. Provider business mailing address

PO BOX 470408
CHARLOTTE NC
28247-0408
US

V. Phone/Fax

Practice location:
  • Phone: 704-487-4677
  • Fax:
Mailing address:
  • Phone: 704-375-0100
  • Fax: 704-887-6450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5003634
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: