Individual provider · Type 1 NPI

Tanner Cole Waterman, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1871233932 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice locations

  • 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 · (904) 241-1204

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9118928 (FL)

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 1871233932

Tanner Cole Waterman, PA-C's National Provider Identifier is 1871233932, issued on Mar 29, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 5, 2026.