Individual
JAYSON JAQUISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 APPLECROSS RD STE 8, PINEHURST, NC 28374-8520
(910) 692-8224
Mailing address
1006 LARKHAVEN LN, ALBEMARLE, NC 28001-2949
(336) 870-6381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0010-13342
NC
Other
Enumeration date
06/28/2023
Last updated
06/29/2023
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