Allyson Nicole Clancy, PA

Surgical Physician Assistant · Saint Louis, MO

Individual Active NPI

NPI number 1992402234

Practice location

10012 Kennerly Rd
Saint Louis, MO 63128-2042
Phone
(314) 525-1224

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NPI record

NPI
1992402234
Entity type
Individual (Type 1)
Enumeration date
February 7, 2023
Last updated
November 19, 2025
Certified
November 19, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X — —

Mailing address

14540 Old Saint Augustine Rd Ste 2571
Jacksonville, FL 32258-7420
Phone
(904) 886-2251
Fax
(904) 886-7151

Other practice locations (1)

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

About Allyson Clancy

Allyson Nicole Clancy, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 10012 Kennerly Rd, Saint Louis, MO 63128-2042. The NPI number 1992402234 was assigned on February 7, 2023 and the record was last updated on November 19, 2025.

Frequently asked questions

What is the NPI number of Allyson Nicole Clancy, PA?

The NPI number is 1992402234.

What is the phone number of Allyson Clancy?

The phone number listed for the practice location is (314) 525-1224.

Where is Allyson Clancy located?

10012 Kennerly Rd, Saint Louis, MO 63128-2042.

What is the taxonomy code for Allyson Clancy?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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