Provider Demographics
NPI:1851022271
Name:COOKSEY, ASHLEY RYANN (CNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RYANN
Last Name:COOKSEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 SH 121
Mailing Address - Street 2:#3100
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:972-947-2447
Mailing Address - Fax:469-661-2330
Practice Address - Street 1:981 SH 121
Practice Address - Street 2:#3100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:972-947-2447
Practice Address - Fax:469-661-2330
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1082438363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner