Provider Demographics
NPI:1912091257
Name:ASBURY, JANICE W (APN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:W
Last Name:ASBURY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:JAN
Other - Middle Name:W
Other - Last Name:ASBURY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:6 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-1419
Mailing Address - Country:US
Mailing Address - Phone:501-912-3755
Mailing Address - Fax:501-280-3144
Practice Address - Street 1:6 VISTA DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-1419
Practice Address - Country:US
Practice Address - Phone:501-912-3755
Practice Address - Fax:501-280-3144
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA001086363LP0200X
ARR015146163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health