Provider Demographics
NPI:1629851282
Name:ELKINS, ASHLEY RACHELLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RACHELLE
Last Name:ELKINS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E BLAND ST
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63736
Mailing Address - Country:US
Mailing Address - Phone:573-576-0302
Mailing Address - Fax:
Practice Address - Street 1:121 E BLAND STREET
Practice Address - Street 2:
Practice Address - City:BENTON, MO
Practice Address - State:MO
Practice Address - Zip Code:63736
Practice Address - Country:US
Practice Address - Phone:576-576-0302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023020073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily