Provider Demographics
NPI:1699397539
Name:DELAUNOIS, ASHLEY R (PMHNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:R
Last Name:DELAUNOIS
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-3404
Mailing Address - Country:US
Mailing Address - Phone:812-462-3381
Mailing Address - Fax:812-462-3301
Practice Address - Street 1:104 S 1ST ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-3404
Practice Address - Country:US
Practice Address - Phone:812-462-3381
Practice Address - Fax:812-462-3301
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28238771A163W00000X
IN71010277A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse