Individual provider · Type 1 NPI

Kelly Elizabeth Jernigan, PA-C

Physician Assistant · Los Angeles, CA

NPI number 1417290917 Active

Practice location

145 S Fairfax Ave Ste 200&300
Los Angeles, CA 90036-2166

Fax (844) 440-2410

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-04024 (NC)
Physician Assistant Primary 363A00000X51310 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417290917

Kelly Elizabeth Jernigan, PA-C's National Provider Identifier is 1417290917, issued on Apr 3, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 13, 2026.