Healthcare Provider Details

I. General information

NPI: 1487532867
Provider Name (Legal Business Name): ASHLEY NICOLE COPE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8467 N HIGHWAY 421
MANCHESTER KY
40962-4953
US

IV. Provider business mailing address

2533 N LAUREL RD
LONDON KY
40741-9076
US

V. Phone/Fax

Practice location:
  • Phone: 606-658-9240
  • Fax:
Mailing address:
  • Phone: 606-767-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: