Doctor Name: | MS. KATHY JO ASBURY |
NPI Number: | 1356598619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 46254 |
Business Practice Address: | 3640 Express Dr Shallotte, NC - 284706501 |
Business Phone Number: | 9107555222 |
Business Fax Number: | |
Mailing Address: | Po Box 1585, SHALLOTTE |
State: | NC |
Postal Code: | 284591585 |
Phone Number: | 9107555222 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 46254 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |