Provider Demographics
NPI:1184879306
Name:SKELLY, ASHLEY WOOLFOLK (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:WOOLFOLK
Last Name:SKELLY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:BROOKE
Other - Last Name:WOOLFOLK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:724 S MASON ST
Mailing Address - Street 2:MSC 7901 - JMU
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-0001
Mailing Address - Country:US
Mailing Address - Phone:540-568-6178
Mailing Address - Fax:540-568-6176
Practice Address - Street 1:724 S MASON ST
Practice Address - Street 2:MSC 7901 - JMU
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-0001
Practice Address - Country:US
Practice Address - Phone:540-568-6178
Practice Address - Fax:540-568-6176
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002846363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant