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

Kelly Elizabeth Jernigan, PA-C

Individual provider Physician Assistant · NPI 1417290917

Kelly Elizabeth Jernigan, PA-C is a Physician Assistant in Los Angeles, California. Licensed in California and North Carolina. Registered with an NPI since 2013.

Licensed in
CA, NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

145 S Fairfax Ave Ste 200&300
Los Angeles, CA 90036-2166
Phone: (929) 384-6815
Fax: (844) 440-2410
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 51310 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-04024 (NC)

Record details

NPI number1417290917
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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