Provider Demographics
NPI:1255902581
Name:EVANS, ASHLEY DION (APRN)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:DION
Last Name:EVANS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4196 HIGHWAY 62 412 STE A
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:AR
Mailing Address - Zip Code:72542-8002
Mailing Address - Country:US
Mailing Address - Phone:501-438-8075
Mailing Address - Fax:870-895-2164
Practice Address - Street 1:1010 N CENTER ST
Practice Address - Street 2:
Practice Address - City:LONOKE
Practice Address - State:AR
Practice Address - Zip Code:72086-2005
Practice Address - Country:US
Practice Address - Phone:501-438-8075
Practice Address - Fax:870-895-2164
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR216765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily