Healthcare Provider Details

I. General information

NPI: 1225956485
Provider Name (Legal Business Name): ASHLEY JO GERDES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W HOUSTON ST
JASPER TX
75951-4002
US

IV. Provider business mailing address

315 W HOUSTON ST
JASPER TX
75951-4002
US

V. Phone/Fax

Practice location:
  • Phone: 409-384-3430
  • Fax: 409-383-0571
Mailing address:
  • Phone: 409-384-3430
  • Fax: 409-383-0571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1246657
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: