ASHLEY DAWN FULLEN LPN
NPI 1053148007
Licensed Practical Nurse in Beavercreek, OH

Active since September 16, 2024
2911 TARA TRL, BEAVERCREEK, OH 45434(937) 361-3983 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About ASHLEY FULLEN

This page provides the complete NPI Profile along with additional information for Ashley Fullen, a provider established in Beavercreek, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1053148007 assigned on September 2024. The practitioner's primary taxonomy code is 164W00000X with license number LPN.180251.MEDS.IV (OH). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1053148007 Verify this NPI
Provider Name
ASHLEY DAWN FULLEN LPN
Gender
Female
Entity Type
Individual
Location Address
2911 TARA TRL BEAVERCREEK, OH 45434
Location Phone
(937) 361-3983
Mailing Address
2911 TARA TRL BEAVERCREEK, OH 45434
Mailing Phone
(937) 361-3983
Is Sole Proprietor?
Yes
Enumeration Date
09-16-2024
Last Update Date
09-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
LPN.180251.MEDS.IV
License State
OH
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053148007, enumerated as an "individual" on September 16, 2024.

The provider is located at 2911 TARA TRL BEAVERCREEK, OH 45434 and the phone number is (937) 361-3983.

Licensed Practical Nurse with taxonomy code 164W00000X.