| Ashley Cannon, | |
| 
					319 W Parker St, Hamburg, AR 71646-3121  | |
| (870) 853-8271 | |
| Not Available | 
| Full Name | Ashley Cannon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 319 W Parker St, Hamburg, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447996517 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F05220215 (Arkansas) | Primary | 
| 363L00000X | Nurse Practitioner | 220179 (Arkansas) | Secondary | 
| Entity Name | Crossett Health Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093084808 PECOS PAC ID: 9133030117 Enrollment ID: O20120314000287  | 
| Entity Name | Ipc Pac Healthcare Services Of Missouri Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20180122001018  | 
| Entity Name | Nv Pacs 2 Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210811001714  | 
| Entity Name | Venvisor Health Of Ar Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992553028 PECOS PAC ID: 8022551647 Enrollment ID: O20240624001176  | 
| Entity Name | Cs Pacs 3 Southwest, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275398430 PECOS PAC ID: 1254879620 Enrollment ID: O20240828004216  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ashley Cannon, 714 Pine Manor Dr, Hamburg, AR 71646-3313 Ph: (870) 853-7534  | Ashley Cannon, 319 W Parker St, Hamburg, AR 71646-3121 Ph: (870) 853-8271  | 
Tracey Ellen Kelley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271  | |
Cynthia Dianne Stahley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1109 Cub Drive, Hamburg, AR 71646 Phone: 870-224-0116 Fax: 877-751-3582  | |
Zanna Linder, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271  | |
Holly Nicole Frisby, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-853-8236  | |
Ms. Rebecca Lynn Amos, BSN-C APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-853-8932  | |
Spencer Chad Smith,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 E Saint Louis St, Hamburg, AR 71646 Phone: 870-831-5016  |