Healthcare Provider Details

I. General information

NPI: 1083075097
Provider Name (Legal Business Name): ASHLEY MICHELLE POLLARD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3206 S HIGHWAY 95A
CANTONMENT FL
32533-5804
US

IV. Provider business mailing address

8383 N DAVIS HWY
PENSACOLA FL
32514-6039
US

V. Phone/Fax

Practice location:
  • Phone: 850-741-3146
  • Fax:
Mailing address:
  • Phone: 850-494-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN 9171479
License Number StateZZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9171479
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: