Ashlie Wilson, APRN

Key facts

NPI

1992108294

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

11013257 (FL)

Practice address

7765 S County Road 231
Lake Butler, FL 32054-5721

Phone

(386) 496-6000

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2023.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1992108294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 S COUNTY ROAD 231",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320545721",
            "telephone_number": "386-496-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ASHLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Butler, FL

• Union County Board of County Commissioners
• Union Speech Solutions, LLC
• Andrea E Waterhouse, ARNP
• Brooke Arin Waters, MSN, APRN, FNP-C
• Catherine Denise Williams, LMT

All providers in Lake Butler, FL · Nurse Practitioner in Florida