Provider Demographics
NPI:1851502934
Name:CHAPMAN, ASHLEY DAWN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:DAWN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:RT 10 COOK PKWY
Mailing Address - Street 2:BOX 400
Mailing Address - City:OCEANA
Mailing Address - State:WV
Mailing Address - Zip Code:24870-0400
Mailing Address - Country:US
Mailing Address - Phone:304-682-6246
Mailing Address - Fax:304-949-4525
Practice Address - Street 1:ROUTE 10 COOK PKWY
Practice Address - Street 2:
Practice Address - City:OCEANA
Practice Address - State:WV
Practice Address - Zip Code:24870-0400
Practice Address - Country:US
Practice Address - Phone:304-682-6246
Practice Address - Fax:304-949-4525
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV01224363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant