Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN MICHAEL TIERNEY, PA
ActivePhysician Assistant · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1124023445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (20.871738398976 yrs)
- Last Updated
- Nov 19, 2015
- License
-
PA9102882 (FL)
Practice Information
- Address
-
14540 OLD SAINT AUGUSTINE RDSUITE 2201JACKSONVILLE, FL, 322587418Browse FL providers · Browse ZIP 32258
- Phone
- 9048801260
- Fax
- 9048801210
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. JASON KOTULA | P.A. | 1548263882 |
| DANIEL A BECK | PA-C | 1780688465 |
| KAREN ELAINE MAYES | PA | 1437154887 |
| EDWIN HAUSER | PA | 1760487185 |
| PETER J RIGGS | PA | 1255336574 |
| MRS. MICHELLE PINTO WADE | PA-C | 1518969377 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.