Healthcare Provider Details

I. General information

NPI: 1588279475
Provider Name (Legal Business Name): ASHLEY EARLY MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY TRIDEN

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 S RIFE MEDICAL LN STE 220
ROGERS AR
72758-1456
US

IV. Provider business mailing address

2708 S RIFE MEDICAL LN STE 220
ROGERS AR
72758-1456
US

V. Phone/Fax

Practice location:
  • Phone: 479-338-4400
  • Fax: 479-338-4445
Mailing address:
  • Phone: 479-338-4400
  • Fax: 479-338-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number125709
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: