Individual
MS. ASHLEY BAILLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 702-2396
Mailing address
2816 LIVINGSTON AVE, FORT WORTH, TX 76110-2919
(817) 879-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP130119
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP130119
TX
Other
Enumeration date
02/03/2016
Last updated
08/01/2022
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