Provider Demographics
NPI:1295416113
Name:TRIPLETT, ASHLEY JOHNISE
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:JOHNISE
Last Name:TRIPLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 OUTLOOK AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1846
Mailing Address - Country:US
Mailing Address - Phone:330-619-0808
Mailing Address - Fax:234-719-1925
Practice Address - Street 1:233 OUTLOOK AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1846
Practice Address - Country:US
Practice Address - Phone:330-619-0808
Practice Address - Fax:234-719-1925
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide