Provider Demographics
NPI:1225892201
Name:PORTER, ASHLEY TAYLOR (CNM)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:TAYLOR
Last Name:PORTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:850966 US HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-2848
Practice Address - Country:US
Practice Address - Phone:904-321-2229
Practice Address - Fax:888-815-1492
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN257675163W00000X, 367A00000X
FLAPRN11041694367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse