Basic Information
Provider Information
NPI: 1710339270
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRISSEY
FirstName: ASHLIE
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: DNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 113 FOOTHILLS DR STE A
Address2:  
City: MORGANTON
State: NC
PostalCode: 286555127
CountryCode: US
TelephoneNumber: 8285808100
FaxNumber: 8285808101
Practice Location
Address1: 1985 TATE BLVD SE STE 600
Address2:  
City: HICKORY
State: NC
PostalCode: 286021433
CountryCode: US
TelephoneNumber: 8283285500
FaxNumber: 8284852517
Other Information
ProviderEnumerationDate: 07/08/2016
LastUpdateDate: 02/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X5008717NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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