Provider Demographics
NPI:1770943714
Name:CHARLES, ASHLEY JANINE (PA-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JANINE
Last Name:CHARLES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JANINE
Other - Last Name:VEGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1821 S SESAME SQ
Mailing Address - Street 2:STE 2
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7941
Mailing Address - Country:US
Mailing Address - Phone:956-412-2836
Mailing Address - Fax:956-412-2837
Practice Address - Street 1:1821 S SESAME SQ
Practice Address - Street 2:STE 2
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7941
Practice Address - Country:US
Practice Address - Phone:956-412-2836
Practice Address - Fax:956-412-2837
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant