Individual
JORDAN ASHBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD FL 3, NEWARK, DE 19718-2200
(302) 733-3475
(302) 325-7056
Mailing address
956 S MATLACK ST APT 220, WEST CHESTER, PA 19382-7677
(717) 881-0883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0012162
DE
363AM0700X
Medical Physician Assistant
Primary
C5-0012162
DE
Other
Enumeration date
09/11/2024
Last updated
12/12/2024
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