Individual
EMMANUEL JEAN-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
306 WESTWOOD AVE STE 401, HIGH POINT, NC 27262-4342
(336) 885-6166
(336) 885-8523
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07171
NC
363A00000X
Physician Assistant
005535
GA
363A00000X
Physician Assistant
085007265
IL
363A00000X
Physician Assistant
MA063310
PA
363AM0700X
Medical Physician Assistant
Primary
MA063310
PA
Other
Enumeration date
12/10/2008
Last updated
07/18/2025
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