Individual
MRS. ASHLEY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
602 S 42ND ST, MOUNT VERNON, IL 62864-6264
(618) 899-3777
Mailing address
PO BOX 955860, SAINT LOUIS, MO 63195-2204
(636) 498-5944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017584
IL
363LF0000X
Family Nurse Practitioner
AP134555
TX
Other
Enumeration date
09/07/2016
Last updated
11/10/2020
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