Provider Demographics
NPI:1598417511
Name:ASHLEY, JENNIFER R (APRN-CNP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:R
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 MALVERN AVE STE R
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-6503
Mailing Address - Country:US
Mailing Address - Phone:501-818-3484
Mailing Address - Fax:501-299-9629
Practice Address - Street 1:1534 MALVERN AVE STE R
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6503
Practice Address - Country:US
Practice Address - Phone:501-701-4056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR218887363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR289357758Medicaid