Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11014246 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP144320 | TX |
NPI | 1548892441 |
---|---|
Provider Name | Ms. Ashley R King |
First Address | Jacksonville, FL 32207-8202 |
Second Address | Jacksonville, FL 32207-8202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2020 |
Last Update Date | 01/12/2021 |