Individual
WILLIAM JACK ASHLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
53654
ID
363LN0000X
Neonatal Nurse Practitioner
104775275
ID
363LN0000X
Neonatal Nurse Practitioner
Primary
53654
ID
Other
Enumeration date
05/09/2023
Last updated
01/24/2024
Update your record
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