Provider Demographics
NPI:1780181081
Name:SELLERS, ASHLEY M (CRNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:SELLERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 WHETSTONE ST
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36460-2625
Mailing Address - Country:US
Mailing Address - Phone:251-743-5891
Mailing Address - Fax:251-743-3412
Practice Address - Street 1:159 WHETSTONE ST
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-2625
Practice Address - Country:US
Practice Address - Phone:251-743-5891
Practice Address - Fax:251-743-3412
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1124614363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care