Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5010441 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | F09170074 | AL |
NPI | 1003334798 |
---|---|
Provider Name | Ashlee Green |
First Address | Asheville, NC 28801-4184 |
Second Address | Asheville, NC 28801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2017 |
Last Update Date | 15/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003334798 | (05) | NC |