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General NPI Number Information
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NPI Number | 1437121373
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Entity Type | Individual
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Provider Name | ASHLEY ELLEN GREEN APRN-CNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2006
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 276 SOUTHWEST DR
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City | JONESBORO
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State | AR
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Zip | 72401-5829
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Country | US
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Telephone | 870-970-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 1707 LINWOOD DR STE B
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City | PARAGOULD
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State | AR
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Zip | 72450-5365
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Country | US
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Telephone |
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Fax | 888-977-2956
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | A001912
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License Number State | AR
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