Healthcare Provider Details

I. General information

NPI: 1548355837
Provider Name (Legal Business Name): JANET LINN ASHBY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1693 S QUEEN ST
YORK PA
17403-4609
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-845-1621
  • Fax: 717-845-6939
Mailing address:
  • Phone: 717-845-1621
  • Fax: 717-854-6939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP007559
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: