Provider Demographics
NPI:1346768165
Name:STARNES, ASHLEY WALLER (FNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WALLER
Last Name:STARNES
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 1:808 SCHENCK ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3934
Mailing Address - Country:US
Mailing Address - Phone:704-480-9344
Mailing Address - Fax:704-484-3260
Practice Address - Street 1:631 COX RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3438
Practice Address - Country:US
Practice Address - Phone:048-647-7647
Practice Address - Fax:704-867-7894
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009841363L00000X
NC233075363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner