Provider Demographics
NPI:1164954590
Name:SAUNDERS, ALLYSON HUDSON (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:HUDSON
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ALLYSON
Other - Middle Name:NICOLE
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7101 JAHNKE RD.
Mailing Address - Street 2:SUITE # 260
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225
Mailing Address - Country:US
Mailing Address - Phone:804-716-7758
Mailing Address - Fax:804-918-8664
Practice Address - Street 1:7101 JAHNKE RD.
Practice Address - Street 2:SUITE # 260
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225
Practice Address - Country:US
Practice Address - Phone:804-716-7758
Practice Address - Fax:804-918-8664
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA011005782363A00000X
VA363AS0400X
VA0110005782363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant