Healthcare Provider Details

I. General information

NPI: 1306365820
Provider Name (Legal Business Name): ASHLEY TEMPLE RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDREN'S DRIVE EDU SUITE E6A
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

700 CHILDRENS DR STE E6A
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-2447
  • Fax:
Mailing address:
  • Phone: 614-722-2447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN.383978
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: