Individual
MISS ALLYSON NICOLE CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10012 KENNERLY RD, SAINT LOUIS, MO 63128-2042
(314) 525-1224
Mailing address
14540 OLD SAINT AUGUSTINE RD STE 2571, JACKSONVILLE, FL 32258-7420
(904) 886-2251
(904) 886-7151
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
11/19/2025
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