Mcclendon, Ashley Nichole

Mcclendon, Ashley Nichole is an sole proprietor health care provider with primary practice located at 1847 S Lake Dr , Lexington SC 29073-7759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcclendon, Ashley Nichole can be contacted via phone (803) 356-8998.

Contact Information

Primary practice address
1847 S Lake Dr Lexington SC 29073-7759
Phone: (803) 356-8998
Fax: (803) 356-8999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2502 South Carolina

Profile Details

NPI number 1528427408
LBN Legal business name Mcclendon, Ashley Nichole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2016
Last updated Oct 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528427408 NPPES
South Carolina MEDICAID 3000PA
South Carolina Other 423828
South Carolina MEDICAID PC4116
South Carolina MEDICAID RHC020
South Carolina Other 428926
South Carolina MEDICAID RHC151

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