NPI 1104451830

Jeremiah Powers, PAC

Practitioner Physician Assistant Henderson, NC

Practice location

Address: 381 Ruin Creek Rd, Henderson, NC 27536-2932
Phone: (252) 430-0666
Mailing address: 340 Cascade Hills Ln, Wake Forest, NC 27587-2147

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-09738 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1104451830
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2020
Record last updated: 3 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.