Provider Demographics
NPI:1952737660
Name:GARDNER, ASHLEY MCCARTHY (NP)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MCCARTHY
Last Name:GARDNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:RUTH
Other - Last Name:BRYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6755 CREEK VIEW LN STE 200
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5516
Mailing Address - Country:US
Mailing Address - Phone:770-880-7598
Mailing Address - Fax:
Practice Address - Street 1:2201 RENAISSANCE BLVD FL 3
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2709
Practice Address - Country:US
Practice Address - Phone:610-994-2930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN213727363L00000X, 363LF0000X
FLAPRN11022763363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner