Provider Demographics
NPI:1891079646
Name:JANKOWSKI, ASHLEY KRISTINE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:KRISTINE
Last Name:JANKOWSKI
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:3452 CONE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4368
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:OTOLARYNGOLOGY HEAD & NECK SURGERY K-8
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-3275
Practice Address - Fax:313-916-7263
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601006215363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant