Green, Ashley Ellen

Green, Ashley Ellen is an sole proprietor health care provider with primary practice located at 3358 S 2Nd St Ste A-C , Cabot AR 72023-7873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Green, Ashley Ellen can be contacted via phone (501) 286-6053.

Contact Information

Primary practice address
3358 S 2Nd St Ste A-C Cabot AR 72023-7873
Phone: (501) 286-6053
Fax: (501) 286-6090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A001912 Arkansas

Profile Details

NPI number 1437121373
LBN Legal business name Green, Ashley Ellen
Credentials APRN-CNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2006
Last updated Apr 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437121373 NPPES
Arkansas MEDICAID 199759758

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