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1528621919 NPI number — ASHLEY CHARLTON BUSH APRN

NPI Number: 1528621919
Health Care Provider/Practitioner: ASHLEY CHARLTON BUSH APRN

Information about “1528621919” NPI (ASHLEY CHARLTON BUSH APRN) exists in 1528621919 in HTML format HTML  |  1528621919 in plain Text format TXT  |  1528621919 in PDF (Portable Document Format) PDF  |  1528621919 in an XML format XML  formats.

NPI Number : 1528621919 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528621919",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUSH",
    "FirstName": "ASHLEY",
    "MiddleName": "CHARLTON",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHARLTON",
    "OtherFirstName": "ASHLEY",
    "OtherMiddleName": "RUTH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "312 S 4TH ST STE 700",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40202-3046",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-804-5495",
    "MailingAddressFaxNumber": "833-563-1715",
    "FirstLinePracticeLocationAddress": "312 S 4TH ST STE 700",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40202-3046",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-804-5495",
    "PracticeLocationAddressFaxNumber": "833-563-1715",
    "EnumerationDate": "04/21/2019",
    "LastUpdateDate": "09/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "33993",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "241245",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "205627",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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