Individual
JENNIFER MICHELLE ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2410 PINE ST, ARKADELPHIA, AR 71923-4335
(870) 245-2210
(870) 245-2225
Mailing address
2410 PINE ST, ARKADELPHIA, AR 71923-4335
(870) 245-2210
(870) 245-2225
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R65640
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R65640
RN LICENSE
AR
Enumeration date
10/28/2008
Last updated
10/28/2008
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