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NPI Code Detail

MEDICARE: ASHLEY JENNINGS M.D.

MEDICARE: ASHLEY JENNINGS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician61327WI

General Provider Information

NPI Number : 1528324282
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY JENNINGS M.D.
Provider Business Mailing Address
First Line : 16 HOSPITAL DR
Second Line :
City : YORK
State : ME
Zip : 03909-1011
Country : US
Telephone Number : 207-351-3455
Fax Number :
Provider Business Practice Location Address
First Line : 16 HOSPITAL DR
Second Line :
City : YORK
State : ME
Zip : 03909-1011
Country : US
Telephone Number : 207-351-3455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2012
Last Update Date : 05/21/2026

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