Ashley Lynn Agnew, LPN
Individual provider Active NPI Licensed Practical Nurse · Sesser, IL
NPI 1720550643 · NPPES record last updated Dec 18, 2018
Key facts
- NPI
- 1720550643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043109042 (IL)
- Practice address
- 6294 State Highway 154
Sesser, IL 62884-2163 - Phone
- (618) 625-6979
- NPI assigned
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043109042 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043109042 | IL | Yes |
Addresses
Primary practice location
6294 State Highway 154
Sesser, IL 62884-2163
Mailing address
4241 Highway 14 W
Christopher, IL 62822-1037
Phone (618) 724-2401
Other names
- Ashley Lynn Evans
Other providers in Sesser, IL
- Kasey Lynn Adams
- Julia A Bancroft
- Caitlyn Barr
- Amy Bratcher
- Patrick B Cameron
- Christopher Greater Area Rural Health Planning Corporation
All providers in Sesser, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.