Provider Demographics
NPI:1669035028
Name:JEFFREY, ASHLEY VERONICA (APRN, FNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:VERONICA
Last Name:JEFFREY
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6136 HICKORY HILLS LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-1585
Mailing Address - Country:US
Mailing Address - Phone:817-876-7481
Mailing Address - Fax:
Practice Address - Street 1:6136 HICKORY HILLS LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-1585
Practice Address - Country:US
Practice Address - Phone:817-876-7481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-20
Last Update Date:2019-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141362363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily