IndividualActive
Allyson Clancy, PA
NPI 1992402234 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1992402234
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10012 Kennerly Rd
Saint Louis, MO 63128-2042
Phone: (314) 525-1224
Approximate (ZIP-level) locationGet directions
Mailing address
14540 Old Saint Augustine Rd Ste 2571
Jacksonville, FL 32258-7420
Additional practice locations (1)
- 14540 Old Saint Augustine Rd Ste 2571Jacksonville, FL 32258-7420Phone: (904) 886-2251Fax: (904) 886-7151
Registry dates
- Enumerated
- 2023-02-07
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.