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
Fax: (317) 957-2050
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730840745 NPPES
Indiana MEDICAID 300059357

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