Tisha Jean, PA-C
Physician Assistant in Longmeadow, Massachusetts
1558094862- Practice location
- 588 Longmeadow St, Longmeadow, MA 01106-2212
- Phone
- 413-656-1000
- Fax
- —
- Last updated
- February 9, 2026
Tisha Jean is a Physician Assistant based in Longmeadow, MA. Tisha Jean practices in Longmeadow, MA and has the professional credentials of PA-C. The NPI Number for Tisha Jean is 1558094862 and holds a License No. PA102002 (MA). The current practice location address for Tisha Jean is 588 Longmeadow St, Longmeadow, MA 01106-2212 and can be reached out via phone at 413-656-1000.
Provider Profile Details
- NPI Number
- 1558094862
- Provider Name
- Tisha Jean
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 588 Longmeadow St, Longmeadow, MA 01106-2212
- Phone Number
- 413-656-1000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2022
- Last Update Date
- February 9, 2026
- Certification Date
- February 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 588 Longmeadow St
Longmeadow, MA 01106-2212 - City
- Longmeadow
- State
- Massachusetts
- Zip
- 01106-2212
- Phone Number
- 413-656-1000
Provider Business Mailing Address Details
- Address
- 588 Longmeadow St
Longmeadow, MA 01106-2212 - City
- Longmeadow
- State
- MA
- Zip
- 01106-2212
License Information
- License Number
- PA102002
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tisha Jean, PA-C?
The NPI number of Tisha Jean, PA-C is 1558094862. It was assigned on July 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Tisha Jean, PA-C?
Tisha Jean, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA102002.
Where does Tisha Jean, PA-C practice?
The practice location is 588 Longmeadow St, Longmeadow, MA 01106-2212. The office can be reached at 413-656-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558094862 directly on the NPPES registry website.