Provider Demographics
NPI:1073386959
Name:DUNN, ASHLEY (PA)
Entity Type:Individual
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First Name:ASHLEY
Middle Name:
Last Name:DUNN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:5052 N CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-5822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 PROVIDENT DR STE B
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-3297
Practice Address - Country:US
Practice Address - Phone:574-269-8301
Practice Address - Fax:574-269-8302
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-12-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant