Provider Demographics
NPI:1184441495
Name:SMITH, ASHLEY WILLIAMS (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WILLIAMS
Last Name:SMITH
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LOUISE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:30651 SUMMER RUN CT
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-1579
Mailing Address - Country:US
Mailing Address - Phone:225-241-9578
Mailing Address - Fax:
Practice Address - Street 1:30651 SUMMER RUN CT
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-1579
Practice Address - Country:US
Practice Address - Phone:225-241-9578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-100513163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant