Healthcare Provider Details

I. General information

NPI: 1851704274
Provider Name (Legal Business Name): ASHLEY LORRAINE LUJAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY LORRAINE SMITH FNP

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

IV. Provider business mailing address

3695 SUNNYSIDE AVE
CLOVIS CA
93611-5847
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-3000
  • Fax:
Mailing address:
  • Phone: 408-763-1492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95131680
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1851704274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: