Individual
MS. TANISHA M HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4500 SAN PABLO RD S, VINCENT STABILE BLDG 550N, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, VINCENT STABILE BLDG 550N, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110010456
VA
363AM0700X
Medical Physician Assistant
029626
NY
363AM0700X
Medical Physician Assistant
085009476
IL
363AM0700X
Medical Physician Assistant
724323
WI
363AM0700X
Medical Physician Assistant
AMD1403
HI
363AM0700X
Medical Physician Assistant
PA62280
CA
363AM0700X
Medical Physician Assistant
Primary
PA9103457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2922835-00
—
FL
05
—
417531260A
—
GA
Enumeration date
04/12/2006
Last updated
12/18/2024
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