Healthcare Provider Details

I. General information

NPI: 1700714755
Provider Name (Legal Business Name): ASHTON BOWLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 LAFOLLETTE STA N
FLOYDS KNOBS IN
47119-9780
US

IV. Provider business mailing address

141 KEITH ST
SCOTTSBURG IN
47170-1265
US

V. Phone/Fax

Practice location:
  • Phone: 812-920-4880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28267277
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: