person
Ms. Tanisha M Henry, PA
Medical Physician Assistant in Jacksonville, Florida
NPI 1003879735

Tanisha M Henry is a Medical Physician Assistant based in Jacksonville, FL and is specialized in Medical. Tanisha M Henry practices in Jacksonville, FL and has the professional credentials of PA. The NPI Number for Tanisha M Henry is 1003879735 and holds a License No. PA9103457 (Florida).

The current practice location address for Tanisha M Henry is 4500 San Pablo Rd S, Jacksonville, FL and can be reached out via phone at 904-953-2000.

Location: 4500 San Pablo Rd S, Jacksonville, FL, 32224-1865
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Provider Profile Details
NPI Number
1003879735
Provider Name
Tanisha M Henry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4500 San Pablo Rd S, Jacksonville, FL, 32224-1865
Phone Number
904-953-2000
Fax Number
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
417531260A 05 GA
2922835-00 05 FL
institution
Provider Business Practice Location Address Details
Address
4500 San Pablo Rd S
City
State
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider Business Mailing Address Details
Address
4500 San Pablo Rd S
City
State
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9103457 (Florida)
Definition
Definition to come...
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