Individual
WENDY ELIZABETH ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3639 DARNALL PL, JACKSONVILLE, FL 32217-4215
(904) 568-1637
Mailing address
3639 DARNALL PL, JACKSONVILLE, FL 32217-4215
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA101969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291869200
—
FL
01
—
970026513
RAILROAD MEDICARE
—
Enumeration date
04/04/2006
Last updated
07/08/2009
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