IndividualActive
Jessica Pacuch, PA-C
NPI 1558824698 · Medical Physician Assistant · Raphine, VA
Provider details
- NPI number
- 1558824698
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0110006609 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2440 Raphine Rd
Raphine, VA 24472-2541
Phone: (540) 851-1760
Approximate (ZIP-level) locationGet directions
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Registry dates
- Enumerated
- 2019-04-06
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.