Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE ILLICH, PAS1
ActiveJESSE ILLICH, PAS1 is a Physician Assistant healthcare provider located in BOONE, North Carolina. NPI 1821749383 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOONE, NC
Registration Details
- NPI Number
- 1821749383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2022 (4.5347753966493 yrs)
- Last Updated
- Dec 14, 2023
- License
-
0010-13685 (NC)
Practice Information
- Address
-
240 HIGHWAY 105 EXT STE 100BOONE, NC, 286074291Browse NC providers · Browse ZIP 28607
- Phone
- 8282647311
- Fax
- 8282647907
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BOONE, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. ANTIONETTE ESPOSITO HEMP | PA-C | 1902891278 |
| MRS. CAROL CONLEY MARKS | PHYSICIANS ASSISTANT | 1437133717 |
| RUTH DOTSON | P.A.-C | 1912985797 |
| MRS. CASSANDRA LYNN STULL | MPAS, PA-C | 1023068624 |
| MR. TIMOTHY LEE MCHATTON | PA | 1730120346 |
| LYNN STYERS GILBERT | PA-C | 1528001914 |
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.