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

Mrs. Zesta Shirelle Childers, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1417206350

Mrs. Zesta Shirelle Childers, PHYSICIANASSISTANT is a Medical Physician Assistant in Cary, North Carolina. Licensed in Illinois and North Carolina. Registered with an NPI since 2012.

Licensed in
IL, NC
In the registry since
2012
Specialties on file
2

Practice location Address checks out

100 Ridge View Dr Ste 105
Cary, NC 27511-5589
Phone: (919) 851-7867
Fax: (919) 851-7866
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04588 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085004356 (IL)

Record details

NPI number1417206350
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 6, 2012
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

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