Individual
ASHLEIGH A. TWYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4775
Mailing address
2500 N. STATE STREET, CBO - SUITE 4200, JACKSON, MS 39216-4500
(601) 496-9794
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R207116-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/21/2012
Last updated
09/16/2019
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