Basic Information
| Provider Information | |||||||||
| NPI: | 1922045558 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ASHLEY | ||||||||
| FirstName: | JANICE | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 MADISON ST | ||||||||
| Address2: | |||||||||
| City: | TAFT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932681903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6617655639 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 4TH ST | ||||||||
| Address2: | |||||||||
| City: | TAFT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932682415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6617655044 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2006 | ||||||||
| LastUpdateDate: | 01/06/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | RN256373 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.