Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TIA L JANICKI, PA-C
ActiveMRS. TIA L JANICKI, PA-C is a Physician Assistant healthcare provider located in GULF BREEZE, Florida. NPI 1972636843 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GULF BREEZE, FL
Registration Details
- NPI Number
- 1972636843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2007 (19.423816146087 yrs)
- Last Updated
- May 22, 2025
- Licenses
-
PA.1780 (AL)PA9118346 (FL)
Practice Information
- Address
-
30 DANIEL CIRGULF BREEZE, FL, 325614571Browse FL providers · Browse ZIP 32561
- Phone
- 8507353376
- Fax
- 5592011269
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GULF BREEZE, FL
| Name | Credential | NPI |
|---|---|---|
| MS. RUTH WINGATE ALLEN | PA | 1104805480 |
| SARAH M BARONI | PA-C | 1811977614 |
| MR. CHARLES GARRETT BARNES | P.A. | 1194756668 |
| RANDY GENE BANKS | PA-C | 1144248824 |
| JACQUELINE G YORK | P.A. | 1407925126 |
| TRACY N FOX NELSON | P.A. | 1205901469 |
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.