Healthcare Provider Details

I. General information

NPI: 1649907288
Provider Name (Legal Business Name): JESSICA EULENE PASCHAL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 DUKE MEDICINE CIRCLE, DUKE ENDOCRINOLOGY CLINIC 1A
DURHAM NC
27710
US

IV. Provider business mailing address

800 S DUKE ST
DURHAM NC
27701-3902
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-5360
  • Fax: 919-684-5743
Mailing address:
  • Phone: 919-681-3161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: