Zimmerman, Ashley Williams

Zimmerman, Ashley Williams is an individual health care provider with primary practice located at 1515 River Pl Ste 340 , Braselton GA 30517. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Zimmerman, Ashley Williams can be contacted via phone (770) 219-6520.

Contact Information

Primary practice address
1515 River Pl Ste 340 Braselton GA 30517
Fax: (770) 219-6521
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN190851 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN190851 Georgia

Profile Details

NPI number 1407140999
LBN Legal business name Zimmerman, Ashley Williams
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2011
Last updated Jan 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407140999 NPPES
Georgia Other 01458463 AMERIGROUP
Georgia Other 623822 AMERIGROUP
Georgia MEDICAID 003111466A AMERIGROUP

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