| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZESTA SHIRELLE CHILDERS | 1417206350 | 2024-07-05 |
Zesta S Childers [F] graduated in 2011 and primarily specializes in Physician Assistant.
Zesta Shirelle Childers is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417206350. Registration indicates Zesta Shirelle Childers is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 9436309168 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Zesta Shirelle Childers PHYSICIAN ASSISTANT |
| Other Provider Name | Ms. Zesta Shirelle Ramsey |
| Practice Office Address | 100 RIDGE VIEW DR STE 105 CARY, NC US |
| Practice Office Telephone | 9198517867 |
| Practice Office Fax | 9198517866 |
| Mailing Address | 4705 UNIVERSITY DR BLDG 700 DURHAM, NC 277073489 US |
| Business Telephone | 9197484899 |
| Business Fax | 2525365444 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 085004356
IL |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 0010-04588
NC |