Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erica Rose Liss Conklin

Individual provider Physician Assistant · NPI 1336894252

Erica Rose Liss Conklin is a Physician Assistant in Jamestown, North Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

104 Crepe Myrtle Ln
Jamestown, NC 27282-8866
Phone: (630) 659-8147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336894252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022

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