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NPI Code Detail

MEDICARE: ASHLEY L BRIDGES APRN

MEDICARE: ASHLEY L BRIDGES APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0000XNeonatal Nurse Practitioner124468AR

General Provider Information

NPI Number : 1982961967
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY L BRIDGES APRN
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 870-864-4100
Fax Number : 870-864-3555
Provider Business Practice Location Address
First Line : 700 W GROVE ST STE 100N
Second Line :
City : EL DORADO
State : AR
Zip : 71730-4416
Country : US
Telephone Number : 870-864-4100
Fax Number : 870-864-3555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2012
Last Update Date : 06/15/2026

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