Individual
JACLYN RHEA SCHAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Mailing address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12162
NC
Other
Enumeration date
10/07/2020
Last updated
05/18/2022
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