Individual provider · Type 1 NPI

Jennifer Lee Tulli, PAC

Surgical Physician Assistant · Gainesville, FL

NPI number 1669695037 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Call (352) 265-2504 Map

Mailing address

PO Box 100129
Gainesville, FL 32610-0129

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9104122 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1669695037

Jennifer Lee Tulli, PAC's National Provider Identifier is 1669695037, issued on Apr 11, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, FL. The record was last updated on Oct 11, 2020.