Provider Demographics
NPI:1528553583
Name:ASHTON, AMANDA NADEAN (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:NADEAN
Last Name:ASHTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-0416
Mailing Address - Country:US
Mailing Address - Phone:936-590-6307
Mailing Address - Fax:
Practice Address - Street 1:214 NACOGDOCHES ST
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3854
Practice Address - Country:US
Practice Address - Phone:936-598-6315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2020-01-13
Deactivation Date:2019-11-12
Deactivation Code:
Reactivation Date:2019-11-27
Provider Licenses
StateLicense IDTaxonomies
TXAP134102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily