Provider Demographics
NPI:1508256074
Name:TIMMONS, ASHLEY WAHLFELDT (NP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:WAHLFELDT
Last Name:TIMMONS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:2170 MIDLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-2927
Mailing Address - Country:US
Mailing Address - Phone:910-295-2100
Mailing Address - Fax:910-295-3625
Practice Address - Street 1:3312 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2548
Practice Address - Country:US
Practice Address - Phone:336-282-5000
Practice Address - Fax:336-482-3775
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5007456363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care