Individual provider · Type 1 NPI

Tammy Jill Farrell, PHYSICIAN ASSISTANT

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1164612941 Active

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Call (570) 808-5447 Map

Fax (570) 808-6072

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA001099L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1164612941

Tammy Jill Farrell, PHYSICIAN ASSISTANT's National Provider Identifier is 1164612941, issued on Jul 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilkes Barre, PA. The record was last updated on Dec 8, 2025.