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Individual
ASHELEY W COSTNER
Active
Individual
ASHELEY W COSTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FPMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5005085
LICENSE NUMBER
NC
Enumeration date
02/17/2011
Last updated
08/24/2026
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