Provider Demographics
NPI:1174183776
Name:LANGFORD, ASHLYNNE FEELY (APRN, CPNP-PC)
Entity Type:Individual
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First Name:ASHLYNNE
Middle Name:FEELY
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
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Mailing Address - Street 1:1571 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-2150
Mailing Address - Country:US
Mailing Address - Phone:850-559-4308
Mailing Address - Fax:
Practice Address - Street 1:1571 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-2150
Practice Address - Country:US
Practice Address - Phone:863-453-7337
Practice Address - Fax:863-452-9790
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002441363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics