Individual
ASHLEIGH JENAE DETRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 S MAIN ST, BLUFFTON, IN 46714-3616
(260) 824-1071
(260) 824-5578
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71017685A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2025
Last updated
02/11/2026
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