Provider Demographics
NPI:1396186516
Name:TISCHLER, ASHLEY WHIPPLE (LNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WHIPPLE
Last Name:TISCHLER
Suffix:
Gender:F
Credentials:LNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ERIN
Other - Last Name:WHIPPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:655 W 8TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6511
Mailing Address - Country:US
Mailing Address - Phone:904-383-1011
Mailing Address - Fax:
Practice Address - Street 1:655 W 8TH ST FL 5
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209
Practice Address - Country:US
Practice Address - Phone:904-383-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9296916363LF0000X, 363L00000X
VA0024175407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009206100Medicaid
FL009206100Medicaid