Provider Demographics
NPI:1972068682
Name:STEWART, ASHLEY (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 CHISHOLM TRL
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:TX
Mailing Address - Zip Code:76365-2446
Mailing Address - Country:US
Mailing Address - Phone:940-235-2783
Mailing Address - Fax:
Practice Address - Street 1:3701 FAIRWAY BLVD STE 114
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1038
Practice Address - Country:US
Practice Address - Phone:940-557-5320
Practice Address - Fax:940-557-5324
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140308363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily