Provider Demographics
NPI:1205423712
Name:ASHLEY, CAROLINE JEAN
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:JEAN
Last Name:ASHLEY
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 1:950 E WIMBERLY ST
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-8692
Mailing Address - Country:US
Mailing Address - Phone:910-273-2689
Mailing Address - Fax:
Practice Address - Street 1:950 E WIMBERLY ST
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-8692
Practice Address - Country:US
Practice Address - Phone:910-273-2689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider