Individual
MISS ASHLEY T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
106 W MAIN ST, LOUISVILLE, MS 39339-2620
(662) 773-5704
(662) 773-9463
Mailing address
PO BOX 470, LOUISVILLE, MS 39339-0470
(662) 773-6211
(662) 446-1039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874430
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872256
—
MS
Enumeration date
11/09/2009
Last updated
08/06/2015
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