Provider Demographics
NPI:1659093052
Name:HAMILTON, ASHTON NICHOLE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:NICHOLE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:NICHOLE
Other - Last Name:BARKHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 SAGAMORE PKWY S
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-4745
Mailing Address - Country:US
Mailing Address - Phone:765-237-3224
Mailing Address - Fax:
Practice Address - Street 1:102 SAGAMORE PKWY S
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4745
Practice Address - Country:US
Practice Address - Phone:765-237-3224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013065A363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71013065AOtherINDIANA STATE BOARD OF NURSING