Basic Information
Provider Information
NPI: 1619370632
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPMAN
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 MEDICAL CENTER DR STE B500
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257013655
CountryCode: US
TelephoneNumber: 3045447951
FaxNumber: 3043992526
Practice Location
Address1: 1600 MEDICAL CENTER DR STE B500
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257013655
CountryCode: US
TelephoneNumber: 3046911787
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/04/2014
LastUpdateDate: 11/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN73285NPWVY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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