Individual
ASHLEY WILLIAMS ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1515 RIVER PL STE 340, BRASELTON, GA 30517
(770) 219-6520
(770) 219-6521
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN190851
GA
363LF0000X
Family Nurse Practitioner
Primary
RN190851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111466A
—
GA
01
—
01458463
AMERIGROUP
GA
01
—
623822
WELLCARE
GA
Enumeration date
06/02/2011
Last updated
01/25/2021
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