Provider Demographics
NPI:1497936009
Name:ROGERS, ASHLEY CARD (RN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:CARD
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:JEAN
Other - Last Name:CARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:200 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-4358
Mailing Address - Country:US
Mailing Address - Phone:704-874-1904
Mailing Address - Fax:704-867-2134
Practice Address - Street 1:1022 SHELTON AVE
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-6826
Practice Address - Country:US
Practice Address - Phone:704-768-2080
Practice Address - Fax:704-768-2081
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-03727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004061Medicaid
NC2594280Medicare Oscar/Certification