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NPI Profile for ASHLEY L BOSTYAN in JACKSON, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1639724099 |
|
| Status | Active | |
| Credentials | DNP, APRN, ACAGNP-BC | |
| Entity | Individual | |
| Enumeration date | 08/02/2019 | |
| Last updated | 03/19/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ASHLEY L BOSTYAN
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| JACKSON WHOLE FAMILY HEALTH, INC. 1110 MAPLE WAY JACKSON, WY |
| KIMBERLY A MELLICK, MSN, FNP-BC 1110 MAPLE WAY JACKSON, WY |
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ASHLEY L BOSTYAN, DNP, APRN, ACAGNP-BC