Provider Demographics
NPI:1922614221
Name:RICHARD, ASHLEY S (NP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:RICHARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6143 JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-0368
Mailing Address - Country:US
Mailing Address - Phone:318-547-1469
Mailing Address - Fax:
Practice Address - Street 1:6143 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292-0368
Practice Address - Country:US
Practice Address - Phone:318-547-1469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA214482363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily