Provider Demographics
NPI:1093413098
Name:HUDSON, ASHLEIGH STONE (FNP)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:STONE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:ELIZABETH
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:532 RACCOON BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-8215
Mailing Address - Country:US
Mailing Address - Phone:252-341-0373
Mailing Address - Fax:
Practice Address - Street 1:2460 CURTIS ELLIS DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2237
Practice Address - Country:US
Practice Address - Phone:252-962-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily