Provider Demographics
NPI:1790520377
Name:LEDGESS, ASHLEE J (DNP)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:J
Last Name:LEDGESS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:JEAN
Other - Last Name:FEEZOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1341 UINTA ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-7303
Mailing Address - Country:US
Mailing Address - Phone:580-401-5068
Mailing Address - Fax:
Practice Address - Street 1:1400 UINTA DR
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-5060
Practice Address - Country:US
Practice Address - Phone:307-872-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY45921363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY45921OtherWYOMING STATE BOARD OF NURSING LICENSE - APRN