Individual provider · Type 1 NPI

Jon Andrew Secrest, PA

Physician Assistant · Kernersville, NC

NPI number 1811957871 Active

Practice location

291 Broad St, Dba Kernersville Family Practice
Kernersville, NC 27284-2932

Fax (336) 996-9538

Mailing address

2000 Frontis Plaza Blvd Ste 200, (attn) Forsyth Medical Group
Winston Salem, NC 27103-5616

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X67247 (NC)

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 1811957871

Jon Andrew Secrest, PA's National Provider Identifier is 1811957871, issued on Mar 24, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kernersville, NC. The record was last updated on Oct 25, 2020.