Wilson, Ashley Lauren

Wilson, Ashley Lauren is an individual health care provider with primary practice located at 940 River Centre Dr , Port Huron MI 48060-4463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Ashley Lauren can be contacted via phone (810) 985-4900.

Contact Information

Primary practice address
940 River Centre Dr Port Huron MI 48060-4463
Phone: (810) 985-4900
Fax: (810) 985-3634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 56010078889 Michigan

Profile Details

NPI number 1093265225
LBN Legal business name Wilson, Ashley Lauren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2016
Last updated Jun 27th, 2025 - about last year

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 1093265225 NPPES
Michigan MEDICAID 1093265225

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