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
1	207VG0400X	Gynecology Physician	61327	WI

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	:	625 E GORHAM ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-1519
Country	:	US
Telephone Number	:	603-505-0022
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 E GORHAM ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-1519
Country	:	US
Telephone Number	:	603-505-0022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	04/08/2026

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