ASHLEY STANBACK NETTLES CRNP NPI 1184364507

NPI Information

  • NPI: 1184364507
  • Provider Name: ASHLEY STANBACK NETTLES, CRNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3643 N ROXBORO ST
    DURHAM, NC
    ZIP 27704
  • Phone: (919) 684-0100

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NPI Details

Ashley Stanback Nettles, CRNP is a psychiatric/mental health nurse practitioner in Durham, NC with 3 years of experience. Ashley Stanback Nettles, CRNP NPI is 1184364507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

3643 N ROXBORO ST
DURHAM, NC
ZIP 27704-702
Phone: (919) 684-0100

The NPI 1184364507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2022 and was last updated on 6/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse1-178733ALABAMANo
2163W00000XRegistered Nurse377449NORTH CAROLINANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health1-178733ALABAMANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health5021286NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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