Individual provider · Type 1 NPI

Jason Wieland, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1881933364 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

1420 Whittington Dr
Raleigh, NC 27614-8755

Other practice locations

  • 111 E 210th St, Bronx, NY 10467-2401 · (718) 920-4321
  • 301 E Main St, Bay Shore, NY 11706-8408 · (631) 968-3525

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-08469 (NC)
Surgical Physician Assistant 363AS0400X016379 (NY)
Medical Physician Assistant Primary 363AM0700X0010-08469 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1881933364

Jason Wieland, PA-C's National Provider Identifier is 1881933364, issued on Feb 4, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Nov 20, 2024.