Individual
MS. ASHLEY RENEE MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
148 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7243
(508) 746-5900
(508) 747-2290
Mailing address
148 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7243
(508) 746-5900
(508) 747-2290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2270212
MA
363L00000X
Nurse Practitioner
RN2270212
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2270212
MA
Other
Enumeration date
08/06/2013
Last updated
02/02/2022
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