Healthcare Provider Details

I. General information

NPI: 1972978591
Provider Name (Legal Business Name): ASHLEY ROBINETT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY BAGWELL APRN

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 E MATTHEWS AVE STE 101A
JONESBORO AR
72401-4356
US

IV. Provider business mailing address

1150 E MATTHEWS AVE STE 101A
JONESBORO AR
72401-4356
US

V. Phone/Fax

Practice location:
  • Phone: 870-243-0424
  • Fax: 534-248-4225
Mailing address:
  • Phone: 870-243-0424
  • Fax: 534-248-4225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA004575
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: