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Individual

MR. EVAN C ASHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1305 FOURTH ST, JONESVILLE, LA 71343-2123
(318) 403-6080
(318) 403-6087
Mailing address
1305 FOURTH ST, JONESVILLE, LA 71343-2123
(318) 403-6080

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224268
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2584235
LA
Enumeration date
02/10/2022
Last updated
10/09/2023
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