Individual provider · Type 1 NPI

Michele T. Provost, PA

Physician Assistant · Fayetteville, NC

NPI number 1043388754 Active

Practice location

2125 Valleygate Dr Ste 201
Fayetteville, NC 28304-3754

Fax (910) 920-1450

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-02284 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043388754

Michele T. Provost, PA's National Provider Identifier is 1043388754, issued on Dec 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 4, 2025.