Healthcare Provider Details

I. General information

NPI: 1922045558
Provider Name (Legal Business Name): JANICE LEE ASHLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 4TH ST
TAFT CA
93268-2415
US

IV. Provider business mailing address

205 MADISON ST
TAFT CA
93268-1903
US

V. Phone/Fax

Practice location:
  • Phone: 661-765-5044
  • Fax:
Mailing address:
  • Phone: 661-765-5639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN256373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: