Long, Ashley

Long, Ashley is an individual health care provider with primary practice located at 589 Garfield St Suite 201, Tupelo MS 38801-6301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Long, Ashley can be contacted via phone (662) 680-5565.

Contact Information

Primary practice address
589 Garfield St Suite 201 Tupelo MS 38801-6301
Phone: (662) 680-5565
Fax: (662) 680-5654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R869971 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R869971 Mississippi

Profile Details

NPI number 1609185859
LBN Legal business name Long, Ashley
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2010
Last updated Feb 16th, 2024 - about 2 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 1609185859 NPPES
Mississippi MEDICAID 02371244

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