Provider Demographics
NPI:1700394590
Name:PICKERING BROWN, ASHLEY (NP-C, CDE)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PICKERING BROWN
Suffix:
Gender:F
Credentials:NP-C, CDE
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:PICKERING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:133 OLD ROAD TO NINE ACRE CORNER
Mailing Address - Street 2:EMERSON HOSPITAL NURSING EDUCATION
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-287-3054
Mailing Address - Fax:
Practice Address - Street 1:133 OLD ROAD TO NINE ACRE CORNER
Practice Address - Street 2:EMERSON HOSPITAL NURSING EDUCATION
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-287-3054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2282999363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health