Individual
ASHLEY RAEL SEPULVADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
907 POLK ST, MANSFIELD, LA 71052-2520
(318) 688-3350
(866) 554-1968
Mailing address
2120 BERT KOUNS INDUSTRIAL LOOP STE A, SHREVEPORT, LA 71118-3351
(318) 496-3302
(866) 554-1968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208332
LA
Other
Enumeration date
06/21/2024
Last updated
04/24/2026
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