Ashley Dillon, NP
Individual provider Active NPI Family Nurse Practitioner · Gloster, MS
NPI 1861862963 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1861862963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R878172 (MS)
- Practice address
- 434 N Captain Gloster Dr
Gloster, MS 39638-3401 - Phone
- (601) 225-4711
- Fax
- (601) 225-4144
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160321001370 | MS | Practitioner - Nurse Practitioner | 7214234137 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R878172 | MS | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R878172 | MS | Yes |
Addresses
Primary practice location
434 N Captain Gloster Dr
Gloster, MS 39638-3401
Mailing address
434 N Captain Gloster Dr
Gloster, MS 39638-3401
Phone (601) 225-4711
Other providers in Gloster, MS
- Amite County Medical Services, Inc.
- Amite County School District
- At Home Adult Day Care Center
- Bateaste Eldercare Foundation
- Simmons T Copeland
- Downtown Drug LLC
- Field Memorial Community Hospital
- James Warren Hollingsworth
- Vivian Yvette Johnson
- King & McNulty LLC
All providers in Gloster, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.