Provider Demographics
NPI:1780364638
Name:MARTIN, ASHLEY DAWN (FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DAWN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:FNP-C
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 81
Mailing Address - Street 2:
Mailing Address - City:WARFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:41267-0081
Mailing Address - Country:US
Mailing Address - Phone:606-390-2003
Mailing Address - Fax:
Practice Address - Street 1:12 HODE RD
Practice Address - Street 2:
Practice Address - City:WARFIELD
Practice Address - State:KY
Practice Address - Zip Code:41267-8001
Practice Address - Country:US
Practice Address - Phone:606-390-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4007448363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner