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Hailey Smith Clissold, PA-C
Physician Assistant in Wake Forest, North Carolina
NPI 1326611419

Hailey Smith Clissold is a Physician Assistant based in Wake Forest, NC. Hailey Smith Clissold practices in Wake Forest, NC and has the professional credentials of PA-C. The NPI Number for Hailey Smith Clissold is 1326611419 and holds a License No. (North Carolina).

The current practice location address for Hailey Smith Clissold is 110 Capcom Ave Ste 103, Wake Forest, NC and can be reached out via phone at 919-436-4124.

Location: 110 Capcom Ave Ste 103, Wake Forest, NC, 27587-3219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326611419
Provider Name
Hailey Smith Clissold
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
110 Capcom Ave Ste 103, Wake Forest, NC, 27587-3219
Phone Number
919-436-4124
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Capcom Ave Ste 103
City
Wake Forest
State
North Carolina
Zip
27587-6531
Phone Number
919-436-4124
Fax Number
person
Provider Business Mailing Address Details
Address
110 Capcom Ave Ste 103
City
Wake Forest
State
North Carolina
Zip
27587-6531
Phone Number
919-436-4124
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-13113 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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