Jacqueline Wallenborn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05299 Issued in NC

Practice address

212 Thompson St
Hendersonville, NC 28792-2806

Phone

(828) 697-3232

NPI assigned

Sep 25, 2014

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Henderson County Hospital Corporation

  dba Pardee Medical Associates

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1720480304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 NEW HAW CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 THOMPSON ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922806",
            "telephone_number": "828-697-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENBORN",
        "first_name": "JACQUELINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John V Walker, PTA
• McArthur Walker Jr., MD
• Paul C. Walker, M.D.
• John David Walkerwicz, MPT
• Jessica Walle, PT, DPT
• Deborah Hollingsworth Ward, RPH
• Taylor Ward
• Gabriella Elizabeth Ware, PT, DPT
• John Connor Ware, DDS
• Thomas Robert Warner, PHD

• Physician Assistant in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.