Provider Demographics
NPI:1548769110
Name:FAULKNER, ASHLEY JONES (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JONES
Last Name:FAULKNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ELAINE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2542 BRADSHAW JONES LN
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:NC
Mailing Address - Zip Code:28551-7989
Mailing Address - Country:US
Mailing Address - Phone:252-560-4971
Mailing Address - Fax:252-560-4971
Practice Address - Street 1:204 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-8814
Practice Address - Country:US
Practice Address - Phone:252-775-5999
Practice Address - Fax:252-208-1647
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily