Individual
ASHLI KOVALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2394 MCCULLOUGH BLVD, BELDEN, MS 38826-9579
(662) 205-3023
Mailing address
910 MARY VANCE DR, TUPELO, MS 38801-6226
(662) 377-6275
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R872383
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08382811
—
MS
Enumeration date
08/24/2015
Last updated
03/27/2020
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