person
Mrs. Justin Nicole Kernodle, PA-C
Medical Physician Assistant in Charleston, South Carolina
NPI 1477995470

Justin Nicole Kernodle is a Medical Physician Assistant based in Charlotte, SC and is specialized in Medical. Justin Nicole Kernodle practices in Charleston, SC and has the professional credentials of PA-C. The NPI Number for Justin Nicole Kernodle is 1477995470 and holds a License No. TL1941 (South Carolina).

The current practice location address for Justin Nicole Kernodle is 2095 Henry Tecklenburg Dr, Charleston, SC and can be reached out via phone at 843-402-1037 and via fax at 843-402-1295.

Location: 2095 Henry Tecklenburg Dr, Charleston, SC, 28260-2645
person
Provider Profile Details
NPI Number
1477995470
Provider Name
Justin Nicole Kernodle
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2095 Henry Tecklenburg Dr, Charleston, SC, 28260-2645
Phone Number
843-402-1037
Fax Number
843-402-1295
Provider Enumeration Date
07/19/2013
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2123PA 05 SC
institution
Provider Business Practice Location Address Details
Address
2095 Henry Tecklenburg Dr
City
State
Zip
29414-5733
Phone Number
843-402-1037
Fax Number
843-402-1295
person
Provider Business Mailing Address Details
Address
2095 Henry Tecklenburg Dr
City
State
Zip
29414-5733
Phone Number
843-402-1037
Fax Number
843-402-1295
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
TL1941 (South Carolina)
Definition
Definition to come...
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