Individual provider · Type 1 NPI

Tiara Funkhouser, PA

Physician Assistant · Jacksonville, FL

NPI number 1306578786 Active

Practice location

4600 Beach Blvd
Jacksonville, FL 32207-4764

Call (904) 650-3906 Map

Fax (904) 585-8240

Other practice locations

  • 122 Hawthorn Ln, St. Marys, GA 31558-4028 · (904) 650-3906

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1306578786

Tiara Funkhouser, PA's National Provider Identifier is 1306578786, issued on Jun 25, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2026.