Individual
DR. ASHLEY ANN MAXAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP
Contact information
Practice address
836 PRUDENTIAL DR STE 1103, JACKSONVILLE, FL 32207-8338
(904) 398-7654
Mailing address
836 PRUDENTIAL DR STE 1103, JACKSONVILLE, FL 32207-8338
(904) 398-7654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11014579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881351120
—
FL
Enumeration date
11/22/2021
Last updated
07/17/2025
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