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

Individual provider Pediatrics Physician · NPI 1376055087

Shelley Rickman, PA-C is a Pediatrics Physician in Kernersville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
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

861 Old Winston Rd Ste 103
Kernersville, NC 27284-7141
Phone: (336) 802-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0010-07632 (NC)

Record details

NPI number1376055087
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2017
Last updated in NPPESNovember 3, 2017

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