White, Ashley Nicole

White, Ashley Nicole is an sole proprietor health care provider with primary practice located at 2003A Pioneer St , Waycross GA 31501-6249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. White, Ashley Nicole can be contacted via phone (912) 284-1210.

Contact Information

Primary practice address
2003A Pioneer St Waycross GA 31501-6249
Phone: (912) 284-1210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN210008 Georgia

Profile Details

NPI number 1144744087
LBN Legal business name White, Ashley Nicole
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2017
Last updated Aug 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144744087 NPPES
Georgia MEDICAID 000085858

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