MS. Tanisha M Henry, PA
NPI #1003879735 in Jacksonville, Florida
Provider Information
- NPI Number
- 1003879735
- Entity Type
- Individual
- Name
- MS. Tanisha M Henry, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Dec 18, 2024
Practice Location
- Address
- 4500 SAN PABLO RD S
- Address 2
- VINCENT STABILE BLDG 550N
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32224-1865
- Phone
- (904) 953-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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