Provider Demographics
NPI:1407671514
Name:NELSON, ASHLEY N (RN, FNC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:NELSON
Suffix:
Gender:F
Credentials:RN, FNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3734 REEDPOND DR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-4814
Mailing Address - Country:US
Mailing Address - Phone:904-868-9304
Mailing Address - Fax:
Practice Address - Street 1:3734 REEDPOND DR N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-4814
Practice Address - Country:US
Practice Address - Phone:904-868-9304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach