Provider Demographics
NPI:1750785184
Name:JONES, ASHLEE RUSH (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:RUSH
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3395
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47732-3395
Mailing Address - Country:US
Mailing Address - Phone:812-801-0199
Mailing Address - Fax:812-801-0570
Practice Address - Street 1:10235 HIGHWAY 421 N
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:KY
Practice Address - Zip Code:40045
Practice Address - Country:US
Practice Address - Phone:502-268-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008620363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100321080Medicaid
KYK165193OtherMEDICARE EFF 12/21/22
IN261970025OtherMEDICARE
KYK165192OtherMEDICARE
IN300028099Medicaid