Individual provider · Type 1 NPI

Jesse Illich, PAS1

Physician Assistant · Boone, NC

NPI number 1821749383 Active

Practice location

240 Highway 105 Ext Ste 100
Boone, NC 28607-4291

Call (828) 264-7311 Map

Fax (828) 264-7907

Mailing address

PO Box 1490
Boone, NC 28607-1490

Other practice locations

  • 3200 S University Dr, Davie, FL 33328-2018 · (954) 262-1250
  • 935 State Farm Rd, Boone, NC 28607-4948 · (828) 262-3886
  • 301 E Meeting St Ste 101, Morganton, NC 28655-3594 · (828) 608-0800
  • 1925 N Bridge St Ste 101, Elkin, NC 28621-2105 · (336) 835-7337
  • 448 Cranberry St, Newland, NC 28657-8800 · (828) 737-0221

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X0010-13685 (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 1821749383

Jesse Illich, PAS1's National Provider Identifier is 1821749383, issued on Jan 15, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boone, NC. The record was last updated on Dec 14, 2023.