Individual
ASHLEY CANNON MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4145 CARMICHAEL ROAD, MONTGOMERY, AL 36106
(334) 273-7000
(334) 273-2228
Mailing address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-122663
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203893
—
AL
01
—
4766889
AETNA
AL
01
—
510G700564
MEDICARE
AL
01
—
511-94956
BCBS
AL
01
—
511-94957
BCBS
AL
01
—
Z98667
VIVA
AL
Enumeration date
06/08/2017
Last updated
07/14/2023
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