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NPI Code Detail

MEDICARE: ASHLEY A STEVENSON PA-C

MEDICARE: ASHLEY A STEVENSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1606TN
2363A00000XPhysician Assistant0110005324VA

General Provider Information

NPI Number : 1235301144
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY A STEVENSON PA-C
Provider Business Mailing Address
First Line : 1021 W OAKLAND AVE STE 310
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2192
Country : US
Telephone Number : 423-952-2111
Fax Number :
Provider Business Practice Location Address
First Line : 271 MEDICAL PARK BLVD
Second Line :
City : BRISTOL
State : TN
Zip : 37620-7455
Country : US
Telephone Number : 423-274-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2008
Last Update Date : 05/04/2026

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Directions to “ ASHLEY A STEVENSON PA-C” Practice Location

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