Provider Demographics
NPI:1912208067
Name:ASHLEY, ALISHA KRISTEN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:KRISTEN
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4517 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-9476
Mailing Address - Country:US
Mailing Address - Phone:501-625-3400
Mailing Address - Fax:501-321-8008
Practice Address - Street 1:4517 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-9476
Practice Address - Country:US
Practice Address - Phone:501-623-7900
Practice Address - Fax:501-623-4224
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX799261363LF0000X
ARA003936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily