MEDICARE: ASHLEY WATKINS PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R178207	MD
2	163W00000X	Registered Nurse	R178207	MD

General Provider Information

NPI Number	:	1831841386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY WATKINS PMHNP-BC

Provider Business Mailing Address
First Line	:	100 CHURCH LN # 301
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3705
Country	:	US
Telephone Number	:	443-840-9626
Fax Number	:	866-305-0626

Provider Business Practice Location Address
First Line	:	100 CHURCH LN # 301
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3705
Country	:	US
Telephone Number	:	443-840-9626
Fax Number	:	866-305-0626

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

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	10/01/2025

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