Provider Demographics
NPI:1841524436
Name:CURTIS-YOUNT, JESSICA JUNE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:JUNE
Last Name:CURTIS-YOUNT
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 1:315 19TH ST SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4230
Mailing Address - Country:US
Mailing Address - Phone:828-325-9849
Mailing Address - Fax:828-325-9879
Practice Address - Street 1:315 19TH ST SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4230
Practice Address - Country:US
Practice Address - Phone:828-325-9849
Practice Address - Fax:828-325-9879
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001002047363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-02047OtherNC MEDICAL LIC