Individual provider · Type 1 NPI

Tristen Amber Pack, PA-C

Physician Assistant · Tazewell, VA

NPI number 1942632245 Active

Practice location

388 Ben Bolt Ave
Tazewell, VA 24651-5386

Fax (276) 988-6050

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110004364 (VA)
Physician Assistant 363A00000X54-0506332 (VA)

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 1942632245

Tristen Amber Pack, PA-C's National Provider Identifier is 1942632245, issued on Aug 8, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tazewell, VA. The record was last updated on Oct 29, 2026.