Provider Demographics
NPI:1033499322
Name:CLAY, ASHLEY JO (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:JO
Last Name:CLAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:2860 THIRD AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25702-1453
Mailing Address - Country:US
Mailing Address - Phone:304-526-7246
Mailing Address - Fax:304-526-1951
Practice Address - Street 1:2860 THIRD AVENUE
Practice Address - Street 2:SUITE 210
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-1453
Practice Address - Country:US
Practice Address - Phone:304-526-7246
Practice Address - Fax:304-526-1951
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2014-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363AM0700X
WV01583363AM0700X
WV607363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical