Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Davis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215557467

Ashley Davis is a Physician Assistant in Roseville, Minnesota. Qualified in 2020, 6 years ago. Practices with Tareen Dermatology PA, a 44-clinician group and works from 2 locations.

Years since qualifying
6
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 633-6883
Fax: (651) 528-6276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5298 Ashdale Ln, Baxter, MN 56425-8303 — (218) 232-5418

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215557467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2020
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tareen Dermatology Pa — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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