MEDICARE: ASHLEY CLAYBURNE

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	253Z00000X	In Home Supportive Care Agency		FL

General Provider Information

NPI Number	:	1982591004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY CLAYBURNE

Provider Business Mailing Address
First Line	:	6271 SAINT AUGUSTINE RD # 1913
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-2523
Country	:	US
Telephone Number	:	636-542-3392
Fax Number	:	904-621-6756

Provider Business Practice Location Address
First Line	:	7234 OFALLON LAKE DR # 63366
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-3864
Country	:	US
Telephone Number	:	636-542-3392
Fax Number	:	636-542-3392

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

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

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Directions to “ ASHLEY CLAYBURNE ” Practice Location

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