Individual
ASHLEY ELIZABETH PEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4880 I 55 FRONTAGE RD N, JACKSON, MS 39211-5469
(601) 487-9199
Mailing address
101 EAGLE CV, MADISON, MS 39110-6629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904743
MS
Other
Enumeration date
09/22/2021
Last updated
11/20/2024
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