Individual provider · Type 1 NPI

Ashleigh Jenae Detray

Nurse Practitioner · Bluffton, IN

NPI number 1073307120 Active

Practice location

1115 S Main St
Bluffton, IN 46714-3616

Fax (260) 824-5578

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X71017685A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073307120

Ashleigh Jenae Detray's National Provider Identifier is 1073307120, issued on Apr 5, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bluffton, IN. The record was last updated on Feb 11, 2026.