Healthcare Provider Details

I. General information

NPI: 1942566716
Provider Name (Legal Business Name): ASHLEY RENEE GILES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ASHLEY BROWN

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 COPPERFIELD DR
GEORGETOWN IN
47122-9076
US

IV. Provider business mailing address

1086 COPPERFIELD DR
GEORGETOWN IN
47122-9076
US

V. Phone/Fax

Practice location:
  • Phone: 812-668-6925
  • Fax: 812-618-9681
Mailing address:
  • Phone: 812-668-6925
  • Fax: 812-618-9681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0106931-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number809995
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTPAN4598
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008590
License Number StateKY
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71014584B
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: