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1730840745 NPI number — ASHTON JACOBS FNP-C

NPI Number: 1730840745
Health Care Provider/Practitioner: ASHTON JACOBS FNP-C

Information about “1730840745” NPI (ASHTON JACOBS FNP-C) exists in 1730840745 in HTML format HTML  |  1730840745 in plain Text format TXT  |  1730840745 in PDF (Portable Document Format) PDF  |  1730840745 in an XML format XML  formats.

NPI Number : 1730840745 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730840745",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JACOBS",
    "FirstName": "ASHTON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3403 E RAYMOND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46203-4782",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-957-2000",
    "MailingAddressFaxNumber": "317-957-2050",
    "FirstLinePracticeLocationAddress": "822 W 1ST ST STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLOOMINGTON",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47403-2382",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-957-2110",
    "PracticeLocationAddressFaxNumber": "317-957-2050",
    "EnumerationDate": "01/03/2022",
    "LastUpdateDate": "03/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WE0003X",
          "TaxonomyName": "Emergency Registered Nurse",
          "LicenseNumber": "28225235A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "71012218A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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