| Doctor Name: | ASHLEY BENNETT WALPOLE |
| NPI Number: | 1164804936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | AP08293 |
| Business Practice Address: | 1200 S Farmerville St Ruston, LA - 712705941 |
| Business Phone Number: | 3182553690 |
| Business Fax Number: | 3182516116 |
| Mailing Address: | 1200 S Farmerville St, RUSTON |
| State: | LA |
| Postal Code: | 712705941 |
| Phone Number: | 3182553690 |
| Fax Number: | 3182516116 |
| NPI Enumeration Date: | 06/29/2015 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP08293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |