MRS. ASHLEY RENEE LONG (NPI# 1699204966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699204966 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEY RENEE LONG |
| Practice Address |
2383 Third St Folkston GA 31537-8917 |
| Mailing Address |
11580 Young Rd Jacksonville FL 32218-7505 |
| Practice Telephone | 9043831377 |
| Mailing Telephone | 9048748520 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN274415 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9358703 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11580 Young Rd, Jacksonville, FL 32218 | (904) 874-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408770 | Ashley Long | Licensed Practical Nurse | 3705 Arctic Blvd # 2237, Anchorage, AK 99503-5774 | 2017-03-21 |
| 1255884474 | Ashley Long | Behavioral Analyst | 521 E 12th St Apt Gfe, New York, NY 10009 | 2016-07-25 |
| 1124250303 | Ashley Sweeney Long | Specialist/Technologist | 53 Joyner Dr, Moore Hall, Cullowhee, NC 28723 | 2009-08-20 |
| 1336766930 | Ashley F Long | Dentist | 3101 N Cypress St, Wichita, KS 67226-4017 | 2020-06-30 |
| 1174153894 | Ashley Long | Behavior Technician | 800 Howe Ave Ste 140, Sacramento, CA 95825-3965 | 2020-01-22 |
| 1770130908 | Ashley Nicole Long | Physical Therapist | 12845 Broadway St, Alden, NY 14004-1223 | 2019-08-22 |
| 1073078648 | Ashley Allison Long | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2019-02-07 |
| 1831615699 | Ashley Rochelle Long | Counselor | 49 E Glenwood Ave, Akron, OH 44304 | 2017-08-14 |
| 1629505656 | Ashley Ann Long | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2017-05-22 |
| 1831633908 | Ashley Long | Dietitian, Registered | 17273 Route 104, Chillicothe, OH 45601 | 2016-12-08 |
| Street Address |
2383 THIRD ST |
| City | FOLKSTON |
| State | GA |
| Zip Code | 31537-8917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558470 | Maged Edward Abdelmalik | Internal Medicine | 2383 Third St, Folkston, GA 31537-8917 | 2006-02-17 |
| 1639660087 | Morgan Mizell | Nurse Practitioner | 2383 Third St, Folkston, GA 31537-8917 | 2018-05-22 |
| 1487858650 | Angela Dawn Johnson | Nurse Practitioner | 2383 Third St, Folkston, GA 31537-8917 | 2007-06-12 |
| 1760548002 | Charlton Memorial Hospital | Clinic/Center | 2383 Third St, Folkston, GA 31537-8917 | 2006-12-29 |
| 1245249176 | Sarah Suzanne Ridgeway | Nurse Practitioner | 2383 Third St, Folkston, GA 31537-8917 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390216 | Charlton Cs | Day Training, Developmentally Disabled Services | 3010 Homeland Park Rd, Folkston, GA 31537 | 2012-02-03 |
| 1962549253 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | Rr 1 Box 3010, Folkston, GA 31537 | 2007-01-30 |
| 1922018159 | Albert Marion Thompson Jr. | Family Medicine | 1203 N 3rd St, Folkston, GA 31537-0188 | 2006-08-09 |
| 1063413706 | Ghislain Richard Perron | Family Medicine | 1001 N 3rd St, Folkston, GA 31537-1301 | 2005-08-03 |
| 1760419063 | Heather G Peebles | Dietitian, Registered | 1209 N 3rd St, Folkston, GA 31537-1303 | 2006-06-26 |
| 1619979812 | Hal London | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-06-01 |
| 1295174381 | Will Cameron Duncan | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2013-06-21 |
| 1841540622 | Stephanie Lisa Mcnulty | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2012-09-19 |
| 1700027364 | Robert Duaine Lott | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2009-03-11 |
| 1932108594 | Jaimee Denyse Garcia | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-07-18 |
| Find all providers in zip 31537 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932624053 | Laurine Sheryl Porter | Nurse Practitioner | 3026 Hwy 252, Folkston, GA 31537-2673 | 2017-08-09 |
| 1407486954 | Jennifer Nicole Clairday | Nurse Practitioner | 3919 Main St, Folkston, GA 31537-7545 | 2020-01-23 |
| 1639660087 | Morgan Mizell | Nurse Practitioner | 2383 Third St, Folkston, GA 31537-8917 | 2018-05-22 |
| 1801182100 | James Cutia | Nurse Practitioner | 3919 Main St, Folkston, GA 31537-7545 | 2011-06-24 |
| 1487858650 | Angela Dawn Johnson | Nurse Practitioner | 2383 Third St, Folkston, GA 31537-8917 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. ASHLEY RENEE LONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.