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Individual

DR. ASHLEY TAYLOR LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9560 E 59TH ST, INDIANAPOLIS, IN 46216-1010
(317) 621-1700
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28235244A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013200A
IN

Other

Enumeration date
07/24/2022
Last updated
10/27/2022
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