Provider Demographics
NPI:1801641758
Name:SHIVE, ASHLEY JEAN NICOLE (PMHNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JEAN NICOLE
Last Name:SHIVE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:PIPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23175 N ULDRIKS DR
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-9025
Mailing Address - Country:US
Mailing Address - Phone:269-578-6060
Mailing Address - Fax:
Practice Address - Street 1:23175 N ULDRIKS DR
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-9025
Practice Address - Country:US
Practice Address - Phone:269-578-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704322495363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health