Individual provider · Type 1 NPI
Jerome Patrick Tina
Medical Physician Assistant · Jonesborough, TN
NPI number
1467187229
Active
Practice location
155 Jim Ford Rd
Jonesborough, TN 37659-3129
Other practice locations
- 800 S Mohawk Dr Ste C, Erwin, TN 37650-2124 · (423) 735-4750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110010539 (VA) |
| Physician Assistant | 363A00000X | 5240 (TN) |
| Physician Assistant | 363A00000X | 0110010539 (VA) |
| Medical Physician Assistant Primary | 363AM0700X | 5240 (TN) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Jonesborough
About NPI 1467187229
Jerome Patrick Tina's National Provider Identifier is 1467187229, issued on Jul 17, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jonesborough, TN. The record was last updated on Jul 31, 2026.