MS. MARIE-JACQUES MARILYN AMBROISE MHS, PA-C
NPI 1790962801
Physician Assistant in Raleigh, NC

Active since January 31, 2008
5720 CREEDMOOR RD STE 100, RALEIGH, NC 27612(919) 782-0430 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Marie-jacques Marilyn Ambroise Mhs, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIE-JACQUES MARILYN AMBROISE MHS, PA-C (NPI 1790962801) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (103679) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1790962801
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARIE-JACQUES MARILYN AMBROISECredential: MHS, PA-C
Location Address5720 CREEDMOOR RD STE 100Raleigh, NC 27612-2203
Mailing Address201 Stevens Mill RdGoldsboro, NC 27530-1056 · (919) 731-3206
Sole ProprietorNo
Enumeration DateJanuary 31, 2008
Last NPPES UpdateNovember 25, 2015
NPI 1790962801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103679
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5720 CREEDMOOR RD STE 100, Raleigh, NC 27612

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5720 CREEDMOOR RD STE 100
RALEIGH, NC 27612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie-jacques Ambroise's NPI number?

The NPI number for Marie-jacques Ambroise is 1790962801. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Marie-jacques Ambroise located?

Marie-jacques Ambroise practices at 5720 Creedmoor Rd Ste 100, Raleigh, NC 27612. The listed phone number is (919) 782-0430.

What is Marie-jacques Ambroise's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marie-jacques Ambroise was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.