Individual
ASHLEY NICOLE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
1001 BLYTHE BLVD STE 201, CHARLOTTE, NC 28203-5863
(704) 381-8840
Mailing address
1022 E WORTHINGTON AVE, CHARLOTTE, NC 28203-5760
(330) 697-2180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10151
NC
Other
Enumeration date
06/22/2020
Last updated
02/13/2025
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