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General NPI Number Information
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NPI Number | 1336004605
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Entity Type | Individual
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Provider Name | ASHLEY EVANS NP
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 275 W WISCONSIN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53203-3318
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Country | US
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Telephone | 800-596-0724
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 JACOBS LN
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-5196
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Country | US
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Telephone | 502-991-9088
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28241180A
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License Number State | IN
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