Provider Demographics
NPI:1770185449
Name:PIERCE, SIERRA M (PA-C)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:M
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RESORT DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3815
Mailing Address - Country:US
Mailing Address - Phone:828-350-1773
Mailing Address - Fax:828-350-1774
Practice Address - Street 1:1 RESORT DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3815
Practice Address - Country:US
Practice Address - Phone:828-350-1773
Practice Address - Fax:828-350-1774
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC0010-10866363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program