MEDICARE: MS. OLIVIA JOY AYRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-13247	NC

General Provider Information

NPI Number	:	1326497579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. OLIVIA JOY AYRE

Provider Business Mailing Address
First Line	:	5525 HEDRICK DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-2618
Country	:	US
Telephone Number	:	678-386-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1248 FORT BRAGG RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-4981
Country	:	US
Telephone Number	:	910-486-6818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2016
Last Update Date	:	05/01/2025

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