Individual
ASHLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
920 OLIVER RD, MONROE, LA 71201-5702
(318) 807-6267
(318) 812-6458
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09496
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2453360
—
LA
Enumeration date
07/17/2017
Last updated
06/11/2019
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