Individual
JASON SPINNICCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, PA-C
Contact information
Practice address
211 AUTUMN LN, RAEFORD, NC 28376-8451
(516) 983-6994
Mailing address
211 AUTUMN LN, RAEFORD, NC 28376-8451
(516) 983-6994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2025-04024
NC
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2015
Last updated
04/15/2026
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