Individual provider · Type 1 NPI

Ashley Blalock

Family Nurse Practitioner · Moultrie, GA

NPI number 1700476207 Active

Practice location

8 Laurel Ct
Moultrie, GA 31768-6889

Mailing address

PO Box 2876
Moultrie, GA 31776-2876

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN265568 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1700476207

Ashley Blalock's National Provider Identifier is 1700476207, issued on Jan 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moultrie, GA. The record was last updated on Sep 4, 2025.