Provider Demographics
NPI:1033506415
Name:HOMAN, ASHLEY J (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:J
Last Name:HOMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:J
Other - Last Name:PEASINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:825 N 90TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2702
Mailing Address - Country:US
Mailing Address - Phone:402-391-7246
Mailing Address - Fax:
Practice Address - Street 1:825 N 90TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2702
Practice Address - Country:US
Practice Address - Phone:402-391-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE59739163W00000X
NE111789363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily