Provider Demographics
NPI:1619662038
Name:WILLIAMS, ASHLEY RAE (APRN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:KINGREY
Other - Last Name:BOWLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 SHETLAND HILLS RD
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-3534
Mailing Address - Country:US
Mailing Address - Phone:270-404-3540
Mailing Address - Fax:
Practice Address - Street 1:102 PHYSICIANS BLVD STE B
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1299
Practice Address - Country:US
Practice Address - Phone:270-629-6722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3019119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily