Provider Demographics
NPI:1316709140
Name:SIMO, ASHLEY N (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:SIMO
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14175 DALLAS PKWY APT 1317
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-4407
Mailing Address - Country:US
Mailing Address - Phone:469-422-1797
Mailing Address - Fax:
Practice Address - Street 1:26919 US HIGHWAY 380 E STE 200
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-0239
Practice Address - Country:US
Practice Address - Phone:469-907-9985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1110890363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily