Provider Demographics
NPI:1417768193
Name:BRYANT, ASHLEIGH ALEXIS
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:ALEXIS
Last Name:BRYANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10376 MCELROY DRIVE
Mailing Address - Street 2:
Mailing Address - City:KEITHVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71047
Mailing Address - Country:US
Mailing Address - Phone:318-750-4599
Mailing Address - Fax:
Practice Address - Street 1:10376 MCELROY DRIVE
Practice Address - Street 2:
Practice Address - City:KEITHVILLE
Practice Address - State:LA
Practice Address - Zip Code:71047
Practice Address - Country:US
Practice Address - Phone:318-750-4599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health