Individual provider · Type 1 NPI

John Michael Tierney, PA

Physician Assistant · Jacksonville, FL

NPI number 1124023445 Active

Practice location

14540 Old Saint Augustine Rd, Suite 2201
Jacksonville, FL 32258-7418

Call (904) 880-1260 Map

Fax (904) 880-1210

Mailing address

1325 San Marco Blvd Ste 200
Jacksonville, FL 32207-8566

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9102882 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124023445

John Michael Tierney, PA's National Provider Identifier is 1124023445, issued on Jun 14, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 19, 2015.