Individual
ASHLEY JANELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2210 TIMBERBROOK LN, MIDWAY PARK, NC 28544-1653
(910) 546-3438
Mailing address
2210 TIMBERBROOK LN, MIDWAY PARK, NC 28544-1653
(910) 546-3438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221341
NC
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-122571
NC
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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