IndividualActive
Ashley Cunningham, NP
NPI 1275146201 · Gerontology Nurse Practitioner · Southlake, TX
Provider details
- NPI number
- 1275146201
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 984596 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
250 Miron Dr
Southlake, TX 76092-7852
Phone: (817) 328-3000
Approximate (ZIP-level) locationGet directions
Mailing address
250 Miron Dr
Southlake, TX 76092-7852
Registry dates
- Enumerated
- 2020-08-28
- Last updated
- 2024-08-23
- Certified
- 2024-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.