Provider Demographics
NPI:1588262059
Name:NICHOLS, ASHLEE SHAE (FNP)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:SHAE
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-1595
Mailing Address - Country:US
Mailing Address - Phone:606-408-6200
Mailing Address - Fax:606-408-6212
Practice Address - Street 1:2301 LEXINGTON AVE STE 125
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2800
Practice Address - Country:US
Practice Address - Phone:606-408-7800
Practice Address - Fax:606-408-6800
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015320363LF0000X
OHAPRN.CNP.0031135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily