Individual provider · Type 1 NPI
Jennifer Tyler, PA-C
Surgical Physician Assistant · Davenport, IA
NPI number
1083684484
Active
Practice location
3385 Dexter Ct, Suite 300
Davenport, IA 52807-3471
Fax (563) 344-9573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 001622 (IA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1083684484
Jennifer Tyler, PA-C's National Provider Identifier is 1083684484, issued on Jan 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Davenport, IA. The record was last updated on Oct 17, 2013.