Individual provider · Type 1 NPI

Jordan Nicholas De Lay, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1174103626 Active

Practice location

815 Springfield Commons Dr
Raleigh, NC 27609-8529

Call (919) 235-1400 Map

Mailing address

PO Box 602195
Charlotte, NC 28260-2195

Other practice locations

  • 3416 Poole Rd Ste 120, Raleigh, NC 27610-2918 · (919) 902-7366

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-11134 (NC)
Medical Physician Assistant Primary 363AM0700X0010-11134 (NC)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1174103626

Jordan Nicholas De Lay, PA-C's National Provider Identifier is 1174103626, issued on Apr 9, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Sep 22, 2026.