| Doctor Name: | ASHLEY BAGWELL |
| NPI Number: | 1972978591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | A004575 |
| Business Practice Address: | 102 Elm St Tuckerman, AR - 724739383 |
| Business Phone Number: | 8706242892 |
| Business Fax Number: | |
| Mailing Address: | 8056 Highway 37 S, NEWPORT |
| State: | AR |
| Postal Code: | 721128674 |
| Phone Number: | 8702173784 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | A004575 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |