Provider Demographics
NPI:1215236740
Name:ASCHEN, JAYNE LAUREN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JAYNE
Middle Name:LAUREN
Last Name:ASCHEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3009 N BALLAS RD
Mailing Address - Street 2:SUITE 320A
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2322
Mailing Address - Country:US
Mailing Address - Phone:314-991-7707
Mailing Address - Fax:314-432-2564
Practice Address - Street 1:3009 N BALLAS RD
Practice Address - Street 2:SUITE 320A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2322
Practice Address - Country:US
Practice Address - Phone:314-991-7707
Practice Address - Fax:314-432-2564
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011007196363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO937083385009OtherHUMANA
MO9215785OtherAETNA
MOA53756OtherHEALTHLINK
MO1215236740OtherANTHEM BCBS
MO1215236740OtherANTHEM BCBS