Individual
MRS. JENNIFER NILAND KERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7130 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012-8004
(336) 893-2420
(336) 893-2431
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 893-2420
(336) 893-2431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01707
NC
Other
Enumeration date
03/03/2009
Last updated
10/28/2020
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