Individual provider · Type 1 NPI

Ashley Lacey Bostick, NP

Nurse Practitioner · Moultrie, GA

NPI number 1306190178 Active

Practice location

8 Live Oak Ct
Moultrie, GA 31768-6783

Mailing address

PO Box 2876
Moultrie, GA 31776-2876

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN181134 (GA)

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 1306190178

Ashley Lacey Bostick, NP's National Provider Identifier is 1306190178, issued on Nov 1, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Moultrie, GA. The record was last updated on Sep 8, 2025.