Provider Demographics
NPI:1376181537
Name:WHITE, ASHLEY NICOLE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:NICOLE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 63RD ST UNIT 200
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2741
Mailing Address - Country:US
Mailing Address - Phone:806-785-0600
Mailing Address - Fax:806-785-0606
Practice Address - Street 1:5807 63RD ST UNIT 200
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2741
Practice Address - Country:US
Practice Address - Phone:806-785-0600
Practice Address - Fax:806-785-0606
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily