Provider Demographics
NPI:1922882083
Name:BROWN, ASHLEY LASHONDA
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LASHONDA
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 NEW STATE RD
Mailing Address - Street 2:
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-4231
Mailing Address - Country:US
Mailing Address - Phone:803-862-6412
Mailing Address - Fax:
Practice Address - Street 1:433 NEW STATE RD
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-4231
Practice Address - Country:US
Practice Address - Phone:803-862-6412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide