Provider Demographics
NPI:1477246015
Name:KEENAN, ASHLEY DECHELLE (MSN, APRN-BC, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DECHELLE
Last Name:KEENAN
Suffix:
Gender:F
Credentials:MSN, APRN-BC, FNP-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:DECHELLE
Other - Last Name:RHEAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:7516 BLUEBONNET BLVD STE 281
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1627
Mailing Address - Country:US
Mailing Address - Phone:307-205-0582
Mailing Address - Fax:425-249-3164
Practice Address - Street 1:7612 PICARDY AVE STE F
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4353
Practice Address - Country:US
Practice Address - Phone:225-242-9224
Practice Address - Fax:425-249-3164
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA230504363LF0000X
AZ296930363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily