Provider Demographics
NPI:1659737500
Name:PEACE, ASHLEY NICOLE (NP)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:NICOLE
Last Name:PEACE
Suffix:
Gender:
Credentials:NP
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:PEACE
Other - Last Name:BAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:300 E MCBEE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2899
Mailing Address - Country:US
Mailing Address - Phone:864-522-8611
Mailing Address - Fax:
Practice Address - Street 1:3551A RUTHERFORD RD
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-2195
Practice Address - Country:US
Practice Address - Phone:864-522-4750
Practice Address - Fax:864-522-4755
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-07
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19932363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily