Individual provider · NPI-1

Athanasia Ashley

Nurse Practitioner, Family · Fort Benning, GA

NPI number1609225945
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1609225945
Entity type
Individual (NPI-1)
Name
Athanasia Ashley
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2016
Certification date
Jun 30, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAC006870MDYes

Practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone 404-932-0619

Mailing address

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone 404-932-0619

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