Provider Demographics
NPI:1184383226
Name:DEJARNETTE, ASHLEY RAE (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:DEJARNETTE
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:10401 LINN STATION RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3842
Mailing Address - Country:US
Mailing Address - Phone:502-589-8600
Mailing Address - Fax:502-589-8745
Practice Address - Street 1:740 S LIMESTONE STE K201
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1716
Practice Address - Country:US
Practice Address - Phone:859-218-2509
Practice Address - Fax:859-323-3499
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2025-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3016942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily