Provider Demographics
NPI:1851612048
Name:ASHLEY FAMILY NURSE PRACTITIONERS PA
Entity Type:Organization
Organization Name:ASHLEY FAMILY NURSE PRACTITIONERS PA
Other - Org Name:HILLSIDE FAMILY HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADVANCED PRACTICE NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:806-373-4010
Mailing Address - Street 1:5901 BELL ST
Mailing Address - Street 2:SUITE C28
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6231
Mailing Address - Country:US
Mailing Address - Phone:806-373-4010
Mailing Address - Fax:
Practice Address - Street 1:5901 BELL ST
Practice Address - Street 2:SUITE C28
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-6231
Practice Address - Country:US
Practice Address - Phone:806-373-4010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX593423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty