Provider Demographics
NPI:1053291609
Name:WARD, ASHLEY RENA
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENA
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 JENNIES CREEK RD
Mailing Address - Street 2:
Mailing Address - City:KERMIT
Mailing Address - State:WV
Mailing Address - Zip Code:25674-8140
Mailing Address - Country:US
Mailing Address - Phone:304-601-7588
Mailing Address - Fax:
Practice Address - Street 1:2480 JENNIES CREEK RD
Practice Address - Street 2:
Practice Address - City:KERMIT
Practice Address - State:WV
Practice Address - Zip Code:25674-8140
Practice Address - Country:US
Practice Address - Phone:304-601-7588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant