Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Niland Kerley, PA-C

Individual provider Physician Assistant · NPI 1104066117

Mrs. Jennifer Niland Kerley, PA-C is a Physician Assistant in Clemmons, North Carolina. Qualified in 2008, 18 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
18
Licensed in
NC
In the registry since
2009
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

7130 Village Medical Cir
Clemmons, NC 27012-8004
Phone: (336) 893-2420
Fax: (336) 893-2431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 216 Moore Rd, King, NC 27021-8703 — (336) 983-4346

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01707 (NC)

Record details

NPI number1104066117
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2009
Last updated in NPPESOctober 28, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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