Individual
MRS. ASHLEY RENEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2377 DUNN AVE, JACKSONVILLE, FL 32218-6983
(904) 648-8090
(904) 648-8089
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9358703
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9358703
FL
363LF0000X
Family Nurse Practitioner
RN274415
GA
Other
Enumeration date
06/08/2017
Last updated
09/12/2022
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