Provider Demographics
NPI:1053032102
Name:GARRISON, ASHLEY JONES (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JONES
Last Name:GARRISON
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 GREEN RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-7869
Mailing Address - Country:US
Mailing Address - Phone:919-229-9266
Mailing Address - Fax:910-900-0921
Practice Address - Street 1:10 GREEN RIDGE LN
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-7869
Practice Address - Country:US
Practice Address - Phone:919-229-9266
Practice Address - Fax:910-900-0921
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC213849163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant