Provider Demographics
NPI:1336825512
Name:GIVENS-MOORE, ASHLEY N (DNP, APRN)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:N
Last Name:GIVENS-MOORE
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:N
Other - Last Name:GIVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 CHILDRENS WAY # 653
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:501-364-4082
Practice Address - Street 1:1 CHILDRENS WAY # 518
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-6601
Practice Address - Fax:501-364-6626
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR216821363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics