| Doctor Name: | ASHLEY BARQ HOUSE |
| NPI Number: | 1013254358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | R871615 |
| Business Practice Address: | 4540 W Railroad St Gulfport, MS - 395012480 |
| Business Phone Number: | 2288676062 |
| Business Fax Number: | 2288672598 |
| Mailing Address: | Po Box 1810, GULFPORT |
| State: | MS |
| Postal Code: | 395021810 |
| Phone Number: | 2288676062 |
| Fax Number: | 2288672598 |
| NPI Enumeration Date: | 01/07/2013 |
| NPI Last Update Date: | 07/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R871615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |