Jessica Ely Prue, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Raleigh, NC

NPI

1871103382

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

0010-12366 (NC)

Sex

Female

Sole proprietor

No

Enumerated

2020-08-10

Last updated

2026-04-28