Individual
ASHLEY MARIE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
216 CHIGGER VALLEY RD, JACKSONVILLE, AR 72076-4158
(501) 650-2041
Mailing address
216 CHIGGER VALLEY RD, JACKSONVILLE, AR 72076-4158
(501) 650-2041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223830
AR
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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