Healthcare Provider Details

I. General information

NPI: 1538084025
Provider Name (Legal Business Name): ASHLEY NICOLE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 STAFFORD PLAZA DRIVE
FREDERICKSBURG VA
22406
US

IV. Provider business mailing address

4 GRAHAM ST
FREDERICKSBURG VA
22405-3106
US

V. Phone/Fax

Practice location:
  • Phone: 540-654-9095
  • Fax:
Mailing address:
  • Phone: 540-479-5158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberPPS-0609641
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: