Provider Demographics
NPI:1124783063
Name:JONES, ASHLYN (MSN AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ASHLYN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MSN AGACNP-BC
Other - Prefix:MISS
Other - First Name:ASHLYN
Other - Middle Name:SUMMER
Other - Last Name:LEAVINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN RN
Mailing Address - Street 1:700 CENTURY PARK S STE 112
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3928
Mailing Address - Country:US
Mailing Address - Phone:205-822-3211
Mailing Address - Fax:
Practice Address - Street 1:700 CENTURY PARK S STE 112
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3928
Practice Address - Country:US
Practice Address - Phone:205-822-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-167005163W00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse