Individual
ASHLEY DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-8177
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
887494
MS
363LF0000X
Family Nurse Practitioner
Primary
215603
AR
363LF0000X
Family Nurse Practitioner
904183
MS
Other
Enumeration date
02/22/2019
Last updated
07/20/2021
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