MEDICARE: ASHLEE LYNN SKINNER 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
1	363A00000X	Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942471651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE LYNN SKINNER PA C

Provider Business Mailing Address
First Line	:	PO BOX 378
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73648-0378
Country	:	US
Telephone Number	:	580-977-4721
Fax Number	:	605-273-3695

Provider Business Practice Location Address
First Line	:	1925 W 3RD ST STE 1
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-0001
Country	:	US
Telephone Number	:	580-243-9682
Fax Number	:	580-297-9096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	06/05/2026

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