Healthcare Provider Details

I. General information

NPI: 1003352444
Provider Name (Legal Business Name): ASHLEY DAWN SHRIVES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY RHINEHART

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11720 SR 27
HECTOR AR
72843-8712
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 479-284-2127
  • Fax: 479-284-2130
Mailing address:
  • Phone: 870-347-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA004979
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA004979
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: