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
PO BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0535
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
363A00000X
Physician Assistant
PA9109610
FL
363AM0700X
Medical Physician Assistant
Primary
MA063310
PA
Other
Enumeration date
12/10/2008
Last updated
08/11/2026
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