Provider Demographics
NPI:1609321702
Name:FLOYD, ASHLEY (WHNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39437-2080
Mailing Address - Country:US
Mailing Address - Phone:601-477-2226
Mailing Address - Fax:601-477-2236
Practice Address - Street 1:1203 AVENUE B STE 300
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MS
Practice Address - Zip Code:39437-2080
Practice Address - Country:US
Practice Address - Phone:601-477-2226
Practice Address - Fax:601-477-2236
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901557363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06805077Medicaid