Provider Demographics
NPI:1497118814
Name:STONER, ASHLEY NICOLE (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICOLE
Last Name:STONER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:MCGEHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 CORPORATE HILL DR STE 110
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-4565
Mailing Address - Country:US
Mailing Address - Phone:501-224-1156
Mailing Address - Fax:501-223-2625
Practice Address - Street 1:18 CORPORATE HILL DR STE 110
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4565
Practice Address - Country:US
Practice Address - Phone:501-224-1156
Practice Address - Fax:501-223-2625
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-02
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-11462207RA0201X
390200000X
ARE13508207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR266694001Medicaid