# ASHLEY BOONE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912301540
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10002059A | IN | Yes |
| 363A00000X | Physician Assistant | 50.004170 | OH | — |
| 363A00000X | Physician Assistant | TC225 | KY | — |

## Other

- **Enumeration date:** 10/10/2014
- **Last updated:** 07/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112322 | — | OH |
| 01 | — | 10002059A | STATE LICENSE | IN |
| 05 | — | 300013731 | — | IN |
| 05 | — | 7100448950 | — | KY |
| 01 | — | H410210 | MEDICARE PTAN | OH |