# DR. ASHLEY SANSOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205447190
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 779628 | NY | — |
| 163WG0000X | General Practice Registered Nurse | 779628 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 403503 | NY | Yes |

## Other

- **Enumeration date:** 08/13/2020
- **Last updated:** 01/07/2025