MEDICARE: ASHLEY DOBBS CPNP

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	363LF0000X	Family Nurse Practitioner	1-083517	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	511-24328	OTHER	AL	BLUE CROSS OF AL

General Provider Information

NPI Number	:	1952655078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY DOBBS CPNP

Provider Business Mailing Address
First Line	:	1963 MEMORIAL PKWY SW STE 9B
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5035
Country	:	US
Telephone Number	:	256-265-0220
Fax Number	:	256-265-0225

Provider Business Practice Location Address
First Line	:	1963 MEMORIAL PKWY SW STE 9B
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5035
Country	:	US
Telephone Number	:	256-265-0220
Fax Number	:	256-265-0225

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

Provider Enumeration Date	:	10/29/2012
Last Update Date	:	03/29/2022

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