Healthcare Provider Details

I. General information

NPI: 1588597967
Provider Name (Legal Business Name): ASHLEY SWEET PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WAXHAW PROFESSIONAL PARK DR STE F
WAXHAW NC
28173-0501
US

IV. Provider business mailing address

101 WAXHAW PROFESSIONAL PARK DR STE F
WAXHAW NC
28173-0501
US

V. Phone/Fax

Practice location:
  • Phone: 704-251-9123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5024969
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: