Individual provider · Type 1 NPI

Tyra Jean Gunn, APRN

Women's Health Nurse Practitioner · Ponte Vedra, FL

NPI number 1104847995 Active

Practice location

400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237

Fax (904) 640-8250

Mailing address

PO Box 748817
Atlanta, GA 30374-8817

Other practice locations

  • 14546 Old Saint Augustine Rd Ste 305&311, Jacksonville, FL 32258-5468 · (904) 260-2255

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner 363LX0001XAPRN2202722 (FL)
Women's Health Nurse Practitioner Primary 363LW0102XAPRN2202722 (FL)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1104847995

Tyra Jean Gunn, APRN's National Provider Identifier is 1104847995, issued on Jul 21, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Ponte Vedra, FL. The record was last updated on Jan 26, 2024.