Jacobs, Ashton
Jacobs, Ashton is an individual health care provider with primary practice located at 822 W 1St St Ste 5 , Bloomington IN 47403-2382. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Jacobs, Ashton can be contacted via phone (317) 957-2110.Contact Information
Primary practice address
822 W 1St St Ste 5
Bloomington IN 47403-2382
Phone: (317) 957-2110
Fax: (317) 957-2050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | 28225235A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71012218A | Indiana |
Profile Details
| NPI number | 1730840745 |
|---|---|
| LBN Legal business name | Jacobs, Ashton |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2022 |
| Last updated | Mar 19th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730840745 | NPPES |
| Indiana | MEDICAID | 300059357 |
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