Provider Demographics
NPI:1780156489
Name:ASHCRAFT, KAYLEE NICOLE (RN)
Entity type:Individual
Prefix:MRS
First Name:KAYLEE
Middle Name:NICOLE
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KAYLEE
Other - Middle Name:NICOLE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:26589 S MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:ESTACADA
Mailing Address - State:OR
Mailing Address - Zip Code:97023-8492
Mailing Address - Country:US
Mailing Address - Phone:971-220-3115
Mailing Address - Fax:
Practice Address - Street 1:26589 S MORGAN RD
Practice Address - Street 2:
Practice Address - City:ESTACADA
Practice Address - State:OR
Practice Address - Zip Code:97023-8492
Practice Address - Country:US
Practice Address - Phone:971-220-3115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
OR202008910RN163WP0808X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health