Individual
ASHLEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 W PARKER ST, HAMBURG, AR 71646-3121
(870) 853-8271
Mailing address
714 PINE MANOR DR, HAMBURG, AR 71646-3313
(870) 853-7534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
220179
AR
363LF0000X
Family Nurse Practitioner
Primary
F05220215
AR
Other
Enumeration date
05/10/2022
Last updated
12/18/2023
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