Ashley Durrell, RN, FNP
Individual provider Active NPI Primary Care Nurse Practitioner · Columbia, SC
NPI 1306189303 · NPPES record last updated Mar 2, 2020
Key facts
- NPI
- 1306189303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 22705 (SC)
- Practice address
- 1308 Laurel St
Columbia, SC 29201-2514 - Phone
- (803) 931-8166
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200172 | SC | MD | Community Health Registered Nurse |
| 22705 | SC | MD | Primary Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 200172 | SC | |
| Primary Care Nurse Practitioner | 363LP2300X | 22705 | SC | Yes |
Addresses
Primary practice location
1308 Laurel St
Columbia, SC 29201-2514
Mailing address
1308 Laurel St
Columbia, SC 29201-2514
Phone (803) 931-8166
Other practice location 1
1100 Shirley St
Columbia, SC 29205-1370
Phone (803) 252-1979
Other providers in Columbia, SC
- Coretta Durant
- Randy Edward Durbin
- Lauren Durden
- Teresa B Durden
- Martin Walter Durkin
- Louise S Duval
- Lisa Duyn
- Dva Healthcare Renal Care Inc
- Dva Renal Healthcare Inc
- Tomeker Reshell Dwight
All providers in Columbia, SC · Primary Care Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.