Individual
ASHLEIGH WYNNE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
190 KIMEL PARK DR STE 140, WINSTON SALEM, NC 27103-6946
(336) 277-2225
(336) 277-2231
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-2225
(336) 277-2231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010856
NC
363LA2200X
Adult Health Nurse Practitioner
5010856
NC
363LG0600X
Gerontology Nurse Practitioner
5010856
NC
363LP2300X
Primary Care Nurse Practitioner
5010856
NC
Other
Enumeration date
08/22/2018
Last updated
10/29/2024
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