Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP 9288126 | FL |
NPI | 1003204462 |
---|---|
Provider Name | Ashley Nicole Briggs |
First Address | Orange City, FL 32763-8310 |
Second Address | Orange City, FL 32763-8310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2015 |
Last Update Date | 23/03/2021 |