Healthcare Provider Details

I. General information

NPI: 1356028971
Provider Name (Legal Business Name): ASHLEY ELIZABETH KNIGHT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3519 TOWN CENTER BLVD S STE B
SUGAR LAND TX
77479-1001
US

IV. Provider business mailing address

23310 DARST FIELD TRL
RICHMOND TX
77469-5198
US

V. Phone/Fax

Practice location:
  • Phone: 281-240-0311
  • Fax:
Mailing address:
  • Phone: 805-428-9458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1126815
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: