Individual
ASHLEY IDIAQUEZ KINNAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-5473
(252) 847-8353
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-5473
(252) 847-8353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5005528
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5005528
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5005528
NC BOARD OF NURSING: ANP LICENSE
NC
Enumeration date
06/03/2011
Last updated
01/11/2022
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