Individual
ASHLEY FISHER ROUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 505, JACKSONVILLE, FL 32258-5213
(904) 701-3610
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000476
FL
363LF0000X
Family Nurse Practitioner
APRN11000476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X2US3
BCBS
FL
Enumeration date
01/30/2019
Last updated
08/11/2025
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