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Contact Information

JILL V ASH, PA
339 RACETRACK RD
SUITE 2
FORT WALTON BEACH, FL32547
 Phone: 850-863-7900
 Fax: 850-864-3094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JILL V ASH · (Female)

NPI # 1003902446
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9101487
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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