Provider Demographics
NPI:1295025633
Name:ASHTON, JESSICA LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LYNN
Last Name:ASHTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 HUGUENOT ST
Mailing Address - Street 2:APT. 5
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1728
Mailing Address - Country:US
Mailing Address - Phone:845-514-4150
Mailing Address - Fax:
Practice Address - Street 1:19 HUGUENOT ST
Practice Address - Street 2:APT. 5
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1728
Practice Address - Country:US
Practice Address - Phone:845-514-4150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6574041163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management