Individual
ASHLEY MARIE BLACKSHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11410 JOLLYVILLE RD STE 1101, AUSTIN, TX 78759-4093
(512) 231-1444
(512) 231-7051
Mailing address
8240 N MOPAC EXPY STE 100, AUSTIN, TX 78759-8869
(512) 687-1950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143442
TX
Other
Enumeration date
10/16/2019
Last updated
09/28/2021
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