Provider Demographics
NPI:1730959420
Name:MASSEY, ASHLEY (CD(DONA))
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MASSEY
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 RIDGELAND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-5301
Mailing Address - Country:US
Mailing Address - Phone:269-615-8572
Mailing Address - Fax:
Practice Address - Street 1:110 RIDGELAND DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-5301
Practice Address - Country:US
Practice Address - Phone:269-615-8572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty