Individual
ASHLEY NICOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2003A PIONEER ST, WAYCROSS, GA 31501-6249
(912) 284-1210
Mailing address
2003A PIONEER ST, WAYCROSS, GA 31501-6249
(912) 284-1210
(912) 284-9091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN210008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000085858
—
GA
Enumeration date
08/02/2017
Last updated
08/02/2017
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