Provider Demographics
NPI:1750967857
Name:ELMORE, ASHLEY ELIZABETH (CPNP- PC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:ELMORE
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Gender:F
Credentials:CPNP- PC
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Mailing Address - Street 1:506-C SPAULDING ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MONTEZUMA
Mailing Address - State:GA
Mailing Address - Zip Code:31063
Mailing Address - Country:US
Mailing Address - Phone:478-458-9992
Mailing Address - Fax:478-458-9996
Practice Address - Street 1:506-C SPAULDING ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:MONTEZUMA
Practice Address - State:GA
Practice Address - Zip Code:31063
Practice Address - Country:US
Practice Address - Phone:478-458-9992
Practice Address - Fax:478-458-9996
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2024-08-08
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Provider Licenses
StateLicense IDTaxonomies
GARN255315363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics