Provider Demographics
NPI:1710445747
Name:LINDSEY, ASHTON DEONE (APRN-CNP)
Entity Type:Individual
Prefix:MISS
First Name:ASHTON
Middle Name:DEONE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:MISS
Other - First Name:ASHTON
Other - Middle Name:DEONE
Other - Last Name:LINDSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:2009 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-4131
Mailing Address - Country:US
Mailing Address - Phone:918-816-4024
Mailing Address - Fax:
Practice Address - Street 1:2009 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4131
Practice Address - Country:US
Practice Address - Phone:918-816-4024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK98095363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics