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General NPI Number Information
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NPI Number | 1164143772
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Entity Type | Individual
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Provider Name | ASHLEY JEFFREY
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6233 SADDLE HILL DR
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City | ALEXANDER
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State | AR
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Zip | 72002-1897
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Country | US
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Telephone | 501-349-0259
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | R096881
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 232231
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License Number State | AR
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