Basic Information
Provider Information
NPI: 1144602087
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPMAN
FirstName: ASHLEY
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: RN-MSN, NNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1235 E CHEROKEE ST
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 658042203
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1235 E CHEROKEE ST
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 658042203
CountryCode: US
TelephoneNumber: 4178202000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/28/2015
LastUpdateDate: 06/28/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LN0000X2005024857MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal

No ID Information.


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