Individual
MRS. JADE LEIGH BREEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1635 NC HIGHWAY 66 S, 155, KERNERSVILLE, NC 27284-3854
(336) 996-2006
Mailing address
1635 NC HIGHWAY 66 S STE 155, KERNERSVILLE, NC 27284-3855
(336) 996-2006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03626
NC
Other
Enumeration date
10/24/2012
Last updated
10/09/2025
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