DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN NICHOLAS DESILLIER, PA-C

Active

JONATHAN NICHOLAS DESILLIER, PA-C is a Physician Assistant healthcare provider located in SUPPLY, North Carolina. NPI 1194202879 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SUPPLY, NC

Registration Details

NPI Number
1194202879
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2018 (8.0471533172119 yrs)
Last Updated
Apr 17, 2023
Licenses
PA.0005423 (CO)
0010-13140 (NC)

Practice Information

Address
6 DOCTORS CIR STE 5
SUPPLY, NC, 284626358
Browse NC providers · Browse ZIP 28462
Phone
9107214370
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SUPPLY, NC

Name Credential NPI
KIRSTEN M SCHNEIDER PA-C 1245206341
HEATHER MERROW PAC 1508834045
MRS. AMY SUE KELLY PA-C 1467486092
CURRIN LOUISE BENDER PA 1427191667
MS. MEAGHAN RAE SCARLETT RPAC 1023315611
AMANDA EVELYN SWISS PA-C 1063978047
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.