Individual
ASHLEY N TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4541
(318) 966-4543
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 663-6131
(318) 214-4633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214904
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214904
STATE LICENSE
LA
Enumeration date
01/02/2021
Last updated
03/04/2021
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