Provider Demographics
NPI:1578240644
Name:GRAHAM JONES, ASHLEY ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:GRAHAM JONES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2485 BURNEY FORD RD
Mailing Address - Street 2:
Mailing Address - City:CLARKTON
Mailing Address - State:NC
Mailing Address - Zip Code:28433-7217
Mailing Address - Country:US
Mailing Address - Phone:910-874-0082
Mailing Address - Fax:
Practice Address - Street 1:300 E MCKAY ST STE F
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NC
Practice Address - Zip Code:28337-9037
Practice Address - Country:US
Practice Address - Phone:910-862-6672
Practice Address - Fax:910-862-6674
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018367363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily