Individual
JEROME PATRICK TINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 JIM FORD RD, JONESBOROUGH, TN 37659-3129
(516) 967-0805
Mailing address
155 JIM FORD RD, JONESBOROUGH, TN 37659-3129
(516) 967-0805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110010539
VA
363A00000X
Physician Assistant
5240
TN
363AM0700X
Medical Physician Assistant
0110010539
VA
363AM0700X
Medical Physician Assistant
Primary
5240
TN
Other
Enumeration date
07/17/2022
Last updated
07/31/2026
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