Individual
ASHLEY DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2433 MAHAN DR, TALLAHASSEE, FL 32308-5329
(850) 219-8811
Mailing address
106 WOODRIDGE LN, CAIRO, GA 39827-7328
(850) 879-1298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11003463
FL
Other
Enumeration date
07/29/2019
Last updated
06/16/2020
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