Provider Demographics
NPI:1790023760
Name:MARSHALL, ASHLEY (CPNP-AC)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:STERLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1222 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1215
Mailing Address - Country:US
Mailing Address - Phone:407-649-6907
Mailing Address - Fax:407-481-2035
Practice Address - Street 1:2501 N ORANGE AVE STE 310
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4642
Practice Address - Country:US
Practice Address - Phone:407-303-2001
Practice Address - Fax:407-303-2450
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9398046363LP0222X
FLARNP9398046363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9398046OtherMEDICAL LICENSE
FL014323700Medicaid
FL014323700Medicaid