Individual
ASHLEY R BOCKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 HWY 110 N, N BAY O, WHITEHOUSE, TX 75791-3037
(903) 839-2585
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP130613
TX
363LF0000X
Family Nurse Practitioner
Primary
AP130613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356801601
—
TX
01
—
75-2616977-015
TRICARE
TX
01
—
75-2616977-023
TRICARE
TX
01
—
75-2616977-129
TRICARE
TX
01
—
8555NV
BCBS
TX
01
—
P01636575
RAIL ROAD MEDICARE
TX
Enumeration date
03/18/2016
Last updated
02/21/2025
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