Search › Michigan › 363A00000X
Jessica Kernodle, PA-C
NPI 1457657454 · on the registry since 2011
Practice
- Address
- 4075 Copper Ridge Dr
Traverse City, MI 49684 - Phone
- (231) 946-8970
- Fax
- (231) 932-4123
- Organisation at this address
- United We Smile
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan