Basic Information
| Provider Information | |||||||||
| NPI: | 1841524436 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CURTIS-YOUNT | ||||||||
| FirstName: | JESSICA | ||||||||
| MiddleName: | JUNE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 315 19TH ST SE | ||||||||
| Address2: | |||||||||
| City: | HICKORY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286024230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283259849 | ||||||||
| FaxNumber: | 8283259879 | ||||||||
| Practice Location | |||||||||
| Address1: | 315 19TH ST SE | ||||||||
| Address2: | |||||||||
| City: | HICKORY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286024230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283259849 | ||||||||
| FaxNumber: | 8283259879 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2009 | ||||||||
| LastUpdateDate: | 06/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 001002047 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 0010-02047 | 01 | NC | NC MEDICAL LIC | OTHER |