Provider Demographics
NPI:1689045932
Name:ASHLEY, JEANINE (MS)
Entity Type:Individual
Prefix:MS
First Name:JEANINE
Middle Name:
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 W 2ND PL
Mailing Address - Street 2:MEDICAL PLAZA 2, SUITE 100
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1704
Mailing Address - Country:US
Mailing Address - Phone:720-321-8383
Mailing Address - Fax:720-321-8263
Practice Address - Street 1:11700 W 2ND PL
Practice Address - Street 2:MEDICAL PLAZA 2, SUITE 100
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1704
Practice Address - Country:US
Practice Address - Phone:720-321-8383
Practice Address - Fax:720-321-8263
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS