Provider Demographics
NPI:1881945681
Name:RUSSELL, ASHLEIGH STRICKLAND (FNP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:STRICKLAND
Last Name:RUSSELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ASHLEIGH
Other - Middle Name:ROSE
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:142 WILLOW POINT CIR
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-3924
Mailing Address - Country:US
Mailing Address - Phone:252-567-0352
Mailing Address - Fax:
Practice Address - Street 1:5690 OGEECHEE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-9500
Practice Address - Country:US
Practice Address - Phone:252-567-0352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN225268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily