Individual
JARED DOUGLAS HOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 471-9622
Mailing address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 471-9622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60788655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144683996
—
WA
01
—
G8971081
WVH PTANS
WA
01
—
G8971082
WVH PTANS
WA
Enumeration date
03/30/2016
Last updated
09/09/2024
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