JEFFERY JUSTIN KERN


Address: 104 Physicians Park Dr, Rockingham, NC 28379-5204
Phone: 9108951989

JEFFERY JUSTIN KERN (NPI# 1194713701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194713701
Entity Type Individual
Full Name JEFFERY JUSTIN KERN
Credential PA-C
Practice Address 104 Physicians Park Dr
Rockingham
NC 28379-5204
Mailing Address Po Box 843013
Boston
MA 02284-3013
Practice Telephone 9108951989
Practice Fax Number 9108959666
Mailing Telephone 9108951989
Mailing Fax Number 9108959666
Enumeration Date 2005-10-07
Last Update Date 2014-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
103521 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC STATE LICENSE 103521 01

Office Location

Street Address 104 PHYSICIANS PARK DR
City ROCKINGHAM
State NC
Zip Code 28379-5204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316091325 Ernesto M Tamez Jr. Physician Assistant 104 Physicians Park Dr, Rockingham, NC 28379-5204 2007-01-23
1811916679 James Mitchell Hibbard Physician Assistant 104 Physicians Park Dr, Rockingham, NC 28379-5204 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134728157 Yonathan Nigatu Dds Pllc Dentist 1355 E Broad Ave., Rockingham, NC 28379 2020-10-21
1780202788 Rosemond Salia Pharmacy 720 E Highway 74 Business, Rockingham, NC 28379 2020-07-07
1790311835 Daymark Recovery Services Inc Community/Behavioral Health 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 2020-03-20
1639646318 Lakir Patel Pharmacist 720 E Highway Business 74, Rockingham, NC 28379 2018-10-31
1205368180 Karen Mclaurin Early Intervention Provider Agency 138 Ivy Trail, Rockingham, NC 28379 2017-03-30
1134574130 Laura Mcrae Harris Counselor 2202 Fayetteville Road, Rockingham, NC 28379 2016-04-27
1275904542 Marsha A Murphy Counselor 325 South Long Drive, Rockingham, NC 28379 2015-10-13
1659741361 Urgent Cares of America North Carolina Inc Non-Pharmacy Dispensing Site 1262 East Broad Avenue, Rockingham, NC 28379 2015-10-07
1841683448 Tawanda L Bennett Counselor 2202 Fayetteville Rd., Rockingham, NC 28379 2015-03-06
1841682846 Patricia Ann Flowers Counselor 119 Rockinham Rd, Rockingham, NC 28379 2015-02-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023413051 Eagle Rising Health Services Physician Assistant 1025 Rockingham Rd, Rockingham, NC 28379-4356 2014-11-04
1124586540 Kayla Ann Jones Jones Physician Assistant 1046 Tulip Ter, Rockingham, VA 22801-5324 2019-03-05
1720588155 Patricia Nicole Caldwell Physician Assistant 2010 Health Campus Dr, Rockingham, VA 22801-8679 2018-02-12
1790148476 Johanne Durbin Physician Assistant 2010 Health Campus Dr, Rockingham, VA 22801-8679 2016-03-31
1134499981 Blake L. Brown Physician Assistant 2006 Health Campus Dr, Rockingham, VA 22801-8679 2012-01-11
1811916679 James Mitchell Hibbard Physician Assistant 104 Physicians Park Dr, Rockingham, NC 28379-5204 2006-07-19
1992779466 Emily Nan Phillips Physician Assistant 125 Biltmore Dr, Suite #2, Rockingham, NC 28379-4994 2006-02-14
1194796508 Lois P Hanna Physician Assistant 2006 Health Campus Dr, Rockingham, VA 22801-8679 2006-02-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902403884 Billy Scott II Physician Assistant 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 2020-10-05
1982213765 Michaela Lynne Mcbride Physician Assistant 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 2020-07-28
1386260347 Elizabeth Warrington Maiche Physician Assistant 113 Montgomery Dr, Saluda, NC 28773-7787 2020-06-24
1831715663 John Wheary Physician Assistant 3233 Austin Ave, New Bern, NC 28562-7084 2020-06-17
1629692439 Julie Anne Augustine Physician Assistant 718 S Green St, Winston Salem, NC 27101-5112 2020-06-08
1659995710 Kristopher Neal Priddy Physician Assistant 405 Forest Hill Dr, Shelby, NC 28150-5520 2020-06-04
1710500558 Christian Wright Fulenwider Physician Assistant 104 Linden St, Morganton, NC 28655-3788 2020-05-27
1366065500 Lisa Lynn Carder Physician Assistant 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 2020-05-22
1982234282 Brandon Sorkin Physician Assistant 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 2020-01-25
1245860618 Robert Maughan Physician Assistant 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 2020-01-24
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Competitor

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City ROCKINGHAM
Zip Code 28379

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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