Provider Demographics
NPI:1295217438
Name:CARROLL, ASHLON B (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ASHLON
Middle Name:B
Last Name:CARROLL
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 FM 1960 RD W APT 1333
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4135
Mailing Address - Country:US
Mailing Address - Phone:713-517-7277
Mailing Address - Fax:
Practice Address - Street 1:5959 FM 1960 RD W APT 1333
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4135
Practice Address - Country:US
Practice Address - Phone:713-517-7277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX951686163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse