Provider Demographics
NPI:1164072930
Name:WARD, ASHLEY ELAINE (FNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELAINE
Last Name:WARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 ASHMEAD RD
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-9521
Mailing Address - Country:US
Mailing Address - Phone:843-909-2874
Mailing Address - Fax:
Practice Address - Street 1:300 RUBY ST
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-2758
Practice Address - Country:US
Practice Address - Phone:843-549-5599
Practice Address - Fax:843-549-5512
Is Sole Proprietor?:No
Enumeration Date:2019-09-13
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23119207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine