MEDICARE: WOODLAWN WELLNESS FAMILY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1770450835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLAWN WELLNESS FAMILY CLINIC

Provider Business Mailing Address
First Line	:	6143 JONESBORO RD
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71292-0368
Country	:	US
Telephone Number	:	318-570-2197
Fax Number	:	949-817-0978

Provider Business Practice Location Address
First Line	:	6143 JONESBORO RD
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71292-0368
Country	:	US
Telephone Number	:	318-547-1469
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	ASHLEY S RICHARD
Credential	:	NP
Telephone Number	:	318-570-2197

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	02/26/2026

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