Provider Demographics
NPI:1730594763
Name:ASH, TESHAWN LEKEISHA (FNP-C)
Entity type:Individual
Prefix:
First Name:TESHAWN
Middle Name:LEKEISHA
Last Name:ASH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7929 MACON ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-6411
Mailing Address - Country:US
Mailing Address - Phone:504-473-3447
Mailing Address - Fax:
Practice Address - Street 1:7929 MACON ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-6411
Practice Address - Country:US
Practice Address - Phone:504-473-3447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-28
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2378538Medicaid
MS02927857Medicaid
LA2378538Medicaid