Provider Demographics
NPI:1720494701
Name:REDMOND, ASHLEY MCLAIN (NP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MCLAIN
Last Name:REDMOND
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:157 PROFESSIONAL PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5605
Mailing Address - Country:US
Mailing Address - Phone:704-662-3961
Mailing Address - Fax:704-662-3975
Practice Address - Street 1:2337 WINTERHAVEN LN
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6792
Practice Address - Country:US
Practice Address - Phone:336-774-0044
Practice Address - Fax:336-277-4349
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2021-10-28
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Provider Licenses
StateLicense IDTaxonomies
NC252235363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily