Provider Demographics
NPI:1821375643
Name:DAY, ANGELA-ROSE JESSIE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANGELA-ROSE
Middle Name:JESSIE
Last Name:DAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANGELA-ROSE
Other - Middle Name:
Other - Last Name:MANESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1201 PATTON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2707
Mailing Address - Country:US
Mailing Address - Phone:828-252-4878
Mailing Address - Fax:
Practice Address - Street 1:11 RIVER RIDGE DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1299
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-07449363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009473100Medicaid
FL1821375643OtherTRICARE
FLY0NE4OtherBCBS