Basic Information
Provider Information
NPI: 1750973996
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EPLING
FirstName: ASHLEY
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2379
Address2:  
City: ASHLAND
State: KY
PostalCode: 411052379
CountryCode: US
TelephoneNumber: 6064086200
FaxNumber: 6064086612
Practice Location
Address1: 613 23RD ST STE G10
Address2:  
City: ASHLAND
State: KY
PostalCode: 411012886
CountryCode: US
TelephoneNumber: 6064085864
FaxNumber: 6064086499
Other Information
ProviderEnumerationDate: 02/09/2021
LastUpdateDate: 02/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X93106KYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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