Individual
MS. ASHLEY LAUREN ELIZABETH SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 CONVALESCENT RD, VERNON, AL 35592
(205) 695-9313
Mailing address
543 9TH ST NW, VERNON, AL 35592-5813
(205) 712-0431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-120828
AL
363LF0000X
Family Nurse Practitioner
R871916
MS
Other
Enumeration date
04/13/2017
Last updated
05/30/2018
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