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

Individual provider Physician Assistant · NPI 1083209217

Jillian Herma Van Essendelft, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Wake Internal Medicine Consultants, Inc, a 42-clinician group and works from 5 locations. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone: (704) 446-1255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-1813
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-4490
  • 101 E Wt Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-1520
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-7070

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11260 (NC)

Record details

NPI number1083209217
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESSeptember 12, 2022
Certification dateNovember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wake Internal Medicine Consultants, Inc. — 42 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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