Provider Demographics
NPI:1679258115
Name:MILLER, ASHLEY NIANNE (NP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:NIANNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-481-1880
Mailing Address - Fax:336-481-1889
Practice Address - Street 1:1219 LEXINGTON AVE STE B
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2784
Practice Address - Country:US
Practice Address - Phone:336-481-1880
Practice Address - Fax:336-481-1889
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-07-20
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Provider Licenses
StateLicense IDTaxonomies
NC5018239363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner