Individual
CALLIE ASHLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
1344 22ND ST S, ST PETERSBURG, FL 33712-2744
(727) 824-8181
Mailing address
6069 18TH ST S, ST PETERSBURG, FL 33712-4909
(618) 731-1746
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11007273
FL
367A00000X
Advanced Practice Midwife
APRN11007273
FL
Other
Enumeration date
06/01/2020
Last updated
08/04/2020
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