Provider Demographics
NPI:1346983855
Name:GRABLE, ASHLEY JONASZ (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JONASZ
Last Name:GRABLE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:609-677-7003
Mailing Address - Fax:267-339-3761
Practice Address - Street 1:15502 STONEYBROOK WEST PKWY STE 114
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4767
Practice Address - Country:US
Practice Address - Phone:844-407-4070
Practice Address - Fax:407-743-3050
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-08-23
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Provider Licenses
StateLicense IDTaxonomies
FLPA9115866363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant