Healthcare Provider Details

I. General information

NPI: 1376467852
Provider Name (Legal Business Name): ASHLEY FRAKES AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1454 N COUNTY ROAD 2050 E
CARTHAGE IL
62321-3551
US

IV. Provider business mailing address

500 E BRECKENRIDGE ST
BLANDINSVILLE IL
61420-8992
US

V. Phone/Fax

Practice location:
  • Phone: 217-357-8500
  • Fax:
Mailing address:
  • Phone: 309-313-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209036295
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: