Provider Demographics
NPI:1790370559
Name:STAMPER, ASHLI ELIZABETH (APRN, CNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLI
Middle Name:ELIZABETH
Last Name:STAMPER
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 W MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:OK
Mailing Address - Zip Code:73030-1764
Mailing Address - Country:US
Mailing Address - Phone:140-520-7769
Mailing Address - Fax:
Practice Address - Street 1:109 W MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:OK
Practice Address - Zip Code:73030-1764
Practice Address - Country:US
Practice Address - Phone:405-207-7696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0086521363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily