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Individual

ASHLEY BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
590 W RIDGE RD STE M, WYTHEVILLE, VA 24382-1067
(276) 625-8870
Mailing address
590 W RIDGE RD STE M, WYTHEVILLE, VA 24382-1067
(276) 625-8870
(276) 228-2010

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176798
VA
363L00000X
Nurse Practitioner
25138
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024176798
AANP
VA
01
25138
AANP
TN
Enumeration date
11/27/2018
Last updated
03/26/2020
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