Provider Demographics
NPI:1437644796
Name:CAMPBELL, ASHLEY KEYS (NP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KEYS
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 CAMERON HEIGHTS CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7818
Mailing Address - Country:US
Mailing Address - Phone:828-430-1574
Mailing Address - Fax:
Practice Address - Street 1:129 W. MAIN STREET
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-2705
Practice Address - Country:US
Practice Address - Phone:336-677-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034796363LF0000X
NCF04180623363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily