Provider Demographics
NPI:1376310441
Name:CUNNINGHAM, ASHLEY LYNN (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LYNN
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:PMHNP
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Mailing Address - Street 1:3332 BUCKLEY DR
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28312-2302
Mailing Address - Country:US
Mailing Address - Phone:254-577-2785
Mailing Address - Fax:
Practice Address - Street 1:5000 CENTRE GREEN WAY STE 500
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5821
Practice Address - Country:US
Practice Address - Phone:919-297-2762
Practice Address - Fax:910-500-5238
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2025-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY405545363L00000X
NC5019255363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner