Individual
ASHLEY ANN RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP PMHNP-BC
Contact information
Practice address
105 SWEETBRIAR LN, LOUISVILLE, KY 40207-1736
(502) 216-9458
Mailing address
105 SWEETBRIAR LN, LOUISVILLE, KY 40207-1736
(502) 216-9458
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
3015479
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015479
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058423
—
IN
05
—
7100719600
—
KY
Enumeration date
11/19/2020
Last updated
02/20/2024
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