It seems JavaScript is either disabled or not supported by your browser. JavaScript must be enabled in order for you to receive the best user experience.

Licensee Information

Jacqueline Grace Wallenborn - PA-C
0010-05299
Active
Yes
07/02/2026
12/02/2026
See: Actions-Adverse & Administrative Tab

Active Supervisor

NameTypeStatusApprovedInactive
Wilkerson, Michael Wayne, MD MD Active 07/24/2026

North Carolina Hospital Admitting Privileges

Location
Margaret R. Pardee Memorial Hospital

Out of State Active/Inactive Licenses

State
North Carolina

Out of Country Active/Inactive Licenses

Country
None Reported

Address

Pavillon
241 Pavillon Place
Mill Spring, NC 28756
828-694-2300

Information

PA School

SchoolGraduation
Medical University Of South Carolina Physician Assistant Program2014

Area of Practice

Area Of PracticePrimary
Emergency MedicineYes
Family Practice 
Urgent Care 

Current Membership in Medical Professional Organizations

Membership
None Reported

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

This section indicates whether the North Carolina Medical Board has taken adverse public action regarding the licensee. Click on the link or links below to see an electronic copy of public documents associated with the licensee.

Certain public documents, such as hearing transcripts, are listed but are not posted on the site. If the record indicates a transcript is available, it may be obtained by contacting the Board.

NCMB public actions are posted on this site indefinitely.

DateDescriptionLink
08/29/2025 Consent Order View
02/23/2021 Consent Order View

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

This section indicates whether the licensee has any misdemeanor convictions. Information about misdemeanor convictions remains on this website indefinitely.

Conviction DateConvictionJurisdictionSentence
12/03/2020 Driving While ImpairedNCTwelve months unsupervised probation; $200 fine

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 7/28/2026 7:01:11 AM

Loading