Provider Demographics
NPI:1932743937
Name:BIRD, ASHTON MELISSA (NP)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:MELISSA
Last Name:BIRD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17 SHERMAN ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-7087
Mailing Address - Country:US
Mailing Address - Phone:716-664-8510
Mailing Address - Fax:716-664-8514
Practice Address - Street 1:17 SHERMAN ST STE 2100
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-7087
Practice Address - Country:US
Practice Address - Phone:716-664-8510
Practice Address - Fax:716-664-8514
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP032432363LF0000X
NYF354412-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily