Basic Information
| Provider Information | |||||||||
| NPI: | 1497342331 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOWERS | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | NICOLE | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1471 TOWNSHIP HIGHWAY 13 | ||||||||
| Address2: | |||||||||
| City: | SYCAMORE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448829756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5676743500 | ||||||||
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| Practice Location | |||||||||
| Address1: | 990 S PROSPECT ST STE 2 | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | OH | ||||||||
| PostalCode: | 433026283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403837833 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2020 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APRN.CNP.0027558 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.