Provider Demographics
NPI:1578847695
Name:CURTIS, ASHLEY KING (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KING
Last Name:CURTIS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:222 EAST MAIN STREET
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-265-1622
Mailing Address - Fax:631-265-3042
Practice Address - Street 1:222 E MAIN ST
Practice Address - Street 2:SUITE 111
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2871
Practice Address - Country:US
Practice Address - Phone:631-265-1622
Practice Address - Fax:631-265-3042
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00348400363LP0808X
NYF401468-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health