Individual
ASHLEY NICHOLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(915) 974-9088
Mailing address
350 PINE STATE ST, LILLINGTON, NC 27546-9428
(915) 974-9088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-132040
AL
363LF0000X
Family Nurse Practitioner
1-132040
AL
363LF0000X
Family Nurse Practitioner
Primary
5020896
NC
Other
Enumeration date
05/15/2021
Last updated
10/02/2025
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