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General NPI Number Information
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NPI Number | 1508593690
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Entity Type | Individual
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Provider Name | ASHLEY ANN PRICE FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 230 TRACE COLONY PARK DR STE 2
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City | RIDGELAND
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State | MS
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Zip | 39157-8851
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Country | US
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Telephone | 601-992-3996
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Fax |
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Provider Business Mailing Address
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Address Line | 5332 OLD BYRAM RD
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City | JACKSON
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State | MS
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Zip | 39272-8902
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Country | US
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Telephone | 832-444-1079
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 905411
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License Number State | MS
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