Individual
MRS. ASHLEY DANIELLE LANN SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1215 EARL FRYE BLVD, AMORY, MS 38821-5509
(662) 256-9344
Mailing address
60156 SEMINOLE RD, SMITHVILLE, MS 38870-9646
(662) 315-1526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904016
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215545967
—
MS
Enumeration date
07/20/2020
Last updated
01/31/2023
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