Individual provider · Type 1 NPI

Tisha Jean, PA-C

Physician Assistant · Longmeadow, MA

NPI number 1558094862 Active

Practice location

588 Longmeadow St
Longmeadow, MA 01106-2212

Call (413) 656-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA102002 (MA)

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 1558094862

Tisha Jean, PA-C's National Provider Identifier is 1558094862, issued on Jul 5, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Longmeadow, MA. The record was last updated on Feb 9, 2026.