Provider Demographics
NPI:1851054753
Name:EASTER, ASHLEY JO (LPN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JO
Last Name:EASTER
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-4702
Mailing Address - Country:US
Mailing Address - Phone:937-591-8807
Mailing Address - Fax:
Practice Address - Street 1:768 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-4702
Practice Address - Country:US
Practice Address - Phone:937-591-8807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH190955164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty