Healthcare Provider Details

I. General information

NPI: 1801073531
Provider Name (Legal Business Name): ASHLEY DANIELLE JAMES DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W 30TH AVE
PINE BLUFF AR
71603-5310
US

IV. Provider business mailing address

1201 W 30TH AVE
PINE BLUFF AR
71603-5310
US

V. Phone/Fax

Practice location:
  • Phone: 870-413-1287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA003764
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberA003764
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberS002247
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number22200766
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR78759
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: