Provider Demographics
NPI:1497077663
Name:ASHLOCK, BECKY JO (RN)
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:JO
Last Name:ASHLOCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:JO
Other - Last Name:STRINGFELLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21543 PARVIN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3010
Mailing Address - Country:US
Mailing Address - Phone:661-799-7715
Mailing Address - Fax:
Practice Address - Street 1:21543 PARVIN DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-3010
Practice Address - Country:US
Practice Address - Phone:661-799-7715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA515032390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program