Provider Demographics
NPI:1053293134
Name:ASHLEY, CANDACE SUZANNE (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:SUZANNE
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 NORTHEASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-2504
Mailing Address - Country:US
Mailing Address - Phone:501-992-7046
Mailing Address - Fax:
Practice Address - Street 1:2810 NORTHEASTERN AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-2504
Practice Address - Country:US
Practice Address - Phone:501-992-7046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program