=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447131735
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY HYATT FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2025
-----------------------------------------------------
Last Update Date | 10/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 W MCDONALD PKWY
-----------------------------------------------------
City | MAYSVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41056-1164
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-956-0136
-----------------------------------------------------
Fax | 833-972-1620
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 550
-----------------------------------------------------
City | VANCEBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41179-0550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-796-3029
-----------------------------------------------------
Fax | 606-808-7374
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 4046415
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------