Healthcare Provider Details

I. General information

NPI: 1528324282
Provider Name (Legal Business Name): ASHLEY JENNINGS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HOSPITAL DR
YORK ME
03909-1011
US

IV. Provider business mailing address

16 HOSPITAL DR
YORK ME
03909-1011
US

V. Phone/Fax

Practice location:
  • Phone: 207-351-3455
  • Fax:
Mailing address:
  • Phone: 207-351-3455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number61327
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: