Provider Demographics
NPI:1003289943
Name:CAMPBELL, ASHLEY FOSTER (FNP - BC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:FOSTER
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:FNP - BC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:MICHELLE
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP- BC
Mailing Address - Street 1:2005 OAKHURST WAY
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-1830
Mailing Address - Country:US
Mailing Address - Phone:954-993-0536
Mailing Address - Fax:
Practice Address - Street 1:2005 OAKHURST WAY
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-1830
Practice Address - Country:US
Practice Address - Phone:954-993-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-31
Last Update Date:2015-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9309458363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily