Provider Demographics
NPI:1003616608
Name:HARVELL, ASHLEY MICHELLE (FNP-C)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:HARVELL
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 WHISTLING DUCK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76118-7631
Mailing Address - Country:US
Mailing Address - Phone:901-827-9716
Mailing Address - Fax:
Practice Address - Street 1:7120 MCCART AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-7298
Practice Address - Country:US
Practice Address - Phone:817-294-5624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1180147363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily