Individual
ASHLEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
68 HARVESTERS SQ, TUPELO, MS 38801-9509
(662) 295-9485
Mailing address
68 HARVESTERS SQ, TUPELO, MS 38801-9509
(662) 295-9485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R869971
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02371244
—
MS
Enumeration date
10/05/2010
Last updated
02/03/2026
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