Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB TANNER KOBERNICK, PA-C
ActiveJACOB TANNER KOBERNICK, PA-C is a Physician Assistant healthcare provider located in SUN CITY WEST, Arizona. NPI 1942093695 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SUN CITY WEST, AZ
Registration Details
- NPI Number
- 1942093695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2025 (1.2106404445319 yrs)
- Last Updated
- Aug 27, 2025
- License
-
11158 (AZ)
Practice Information
- Address
-
14520 W GRANITE VALLEY DR STE 210SUN CITY WEST, AZ, 853755855Browse AZ providers · Browse ZIP 85375
- Phone
- 8669742673
- Fax
- 8669392673
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SUN CITY WEST, AZ
| Name | Credential | NPI |
|---|---|---|
| BRYNNE A LIVINGSTON | PA-C | 1487603106 |
| BENITO B RODRIGUEZ | PA C | 1124064183 |
| MISS TASHA GRISSETT | PA | 1053445866 |
| JAMIE AHNER | PA | 1497957450 |
| MATTHEW DAY | PA | 1972839751 |
| PATRICK LANDON BURRUP | PA-C | 1033429600 |
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.