Provider Demographics
NPI:1962006817
Name:PIERCE, ASHLEE NADARA (DNP)
Entity Type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:NADARA
Last Name:PIERCE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6263 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-9604
Mailing Address - Country:US
Mailing Address - Phone:989-971-9339
Mailing Address - Fax:
Practice Address - Street 1:5854 STATE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MI
Practice Address - Zip Code:48741-9524
Practice Address - Country:US
Practice Address - Phone:989-683-8065
Practice Address - Fax:989-683-8088
Is Sole Proprietor?:No
Enumeration Date:2020-11-22
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI4704296912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program