Individual
ASHLEY WAMBOLT MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1706 S. JEFFERSON, PERRY, FL 32348
(850) 838-8636
(850) 838-3614
Mailing address
1706 S. JEFFERSON, PERRY, FL 32348
(850) 838-8636
(850) 838-3614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9276244
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9276244
FL
Other
Enumeration date
12/12/2013
Last updated
02/06/2014
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