Individual provider · Type 1 NPI

Jessica Fowler Michalak, PA-C

Physician Assistant · Charlotte, NC

NPI number 1588060412 Active

Practice location

125 Queens Rd Ste 520
Charlotte, NC 28204-3512

Call (980) 302-6500 Map

Fax (980) 302-6505

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 125 Queens Rd Ste 540, Charlotte, NC 28204-3512 · (980) 302-6560
  • 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 · (980) 302-6300

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X0010-05219 (NC)
Nurse Practitioner 363L00000X0010-05219 (NC)
Physician Assistant Primary 363A00000X0010-05219 (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 1588060412

Jessica Fowler Michalak, PA-C's National Provider Identifier is 1588060412, issued on Nov 4, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 23, 2025.