Individual provider · Type 1 NPI

Jessica L. Kouba, P.A.

Physician Assistant · Fayetteville, NC

NPI number 1659601474 Active

Practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Call (800) 476-8646 Map

Fax (919) 382-3210

Mailing address

PO Box 1070
Charlotte, NC 28201-1070

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-02137 (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 1659601474

Jessica L. Kouba, P.A.'s National Provider Identifier is 1659601474, issued on Dec 29, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 17, 2025.