Individual provider · Type 1 NPI
Ashley Diana Tan, FNP
Nurse Practitioner · Wilmington, NC
Practice location
2131 S 17th St
Wilmington, NC 28401-7483
Mailing address
1914 Jumpin Run Dr
Wilmington, NC 28403-5335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5025653 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1154225522
Ashley Diana Tan, FNP's National Provider Identifier is 1154225522, issued on Oct 7, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Oct 7, 2026.