Provider Demographics
NPI:1982437182
Name:MCINTOSH, ASHLEIGH (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:MCINTOSH
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 1:3278 CENTERGROVE RD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-9630
Mailing Address - Country:US
Mailing Address - Phone:704-791-7179
Mailing Address - Fax:
Practice Address - Street 1:14221 BOREN ST
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6507
Practice Address - Country:US
Practice Address - Phone:704-791-7179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020693363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner