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Individual

ASHLEY GAIL MASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12100 COUNTY LINE RD STE A2, MADISON, AL 35756-2006
(256) 390-2555
Mailing address
12100 COUNTY LINE RD, MADISON, AL 35756-2007
(256) 724-7714

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-148125
AL
363L00000X
Nurse Practitioner
Primary
1-148125
AL
363LA2100X
Acute Care Nurse Practitioner
1-148125
AL
363LG0600X
Gerontology Nurse Practitioner
1-148125
AL

Other

Enumeration date
07/11/2022
Last updated
06/02/2023
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