Individual provider · Type 1 NPI

Allyson Nicole Clancy, PA

Surgical Physician Assistant · St. Louis, MO

NPI number 1992402234 Active

Practice location

10012 Kennerly Rd
St. Louis, MO 63128-2042

Call (314) 525-1224 Map

Mailing address

14540 Old Saint Augustine Rd Ste 2571
Jacksonville, FL 32258-7420

Other practice locations

  • 14540 Old Saint Augustine Rd Ste 2571, Jacksonville, FL 32258-7420 · (904) 886-2251

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1992402234

Allyson Nicole Clancy, PA's National Provider Identifier is 1992402234, issued on Feb 7, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Nov 19, 2025.