Individual
ASHLEY ELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
604 GOVERNMENT CENTER WAY STE 4, EVANS, GA 30809-7605
(706) 305-4286
Mailing address
399 BELLA ROSE DR, EVANS, GA 30809-0389
(850) 326-7215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9312061
FL
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP003757
GA
Other
Enumeration date
06/30/2025
Last updated
07/15/2025
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