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Jesse Illich, PAS1
Physician Assistant in Boone, North Carolina
NPI 1821749383

Jesse Illich is a Physician Assistant based in Boone, NC. Jesse Illich practices in Boone, NC and has the professional credentials of PAS1. The NPI Number for Jesse Illich is 1821749383 and holds a License No. (North Carolina).

The current practice location address for Jesse Illich is 240 Highway 105 Ext Ste 100, Boone, NC and can be reached out via phone at 828-264-7311 and via fax at 828-264-7907.

Location: 240 Highway 105 Ext Ste 100, Boone, NC, 28607-1490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821749383
Provider Name
Jesse Illich
Credential
PAS1
Provider Entity Type
Individual
Gender
Male
Address
240 Highway 105 Ext Ste 100, Boone, NC, 28607-1490
Phone Number
828-264-7311
Fax Number
828-264-7907
Provider Enumeration Date
01/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 Highway 105 Ext Ste 100
City
Boone
State
North Carolina
Zip
28607-4291
Phone Number
828-264-7311
Fax Number
828-264-7907
person
Provider Business Mailing Address Details
Address
240 Highway 105 Ext Ste 100
City
Boone
State
North Carolina
Zip
28607-4291
Phone Number
828-264-7311
Fax Number
828-264-7907
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-13685 (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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