EMMANUEL JEAN-JACQUES PA-C NPI 1023253648

NPI Information

  • NPI: 1023253648
  • Provider Name: EMMANUEL JEAN-JACQUES, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 306 WESTWOOD AVE STE 401
    HIGH POINT, NC
    ZIP 27262
  • Phone: (336) 885-6166

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NPI Details

Emmanuel Jean-jacques, PA-C is a medical physician assistant in High Point, NC with 18 years of experience. Emmanuel Jean-jacques, PA-C NPI is 1023253648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

306 WESTWOOD AVE STE 401
HIGH POINT, NC
ZIP 27262-342
Phone: (336) 885-6166
Fax: (336) 885-8523

The NPI 1023253648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 7/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant0010-07171NORTH CAROLINANo
2363A00000XPhysician Assistant085007265ILLINOISNo
3363AM0700XPhysician AssistantMedicalMA063310PENNSYLVANIAYes
4363A00000XPhysician Assistant005535GEORGIANo
5363A00000XPhysician AssistantMA063310PENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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