John Michael Tierney, PA
NPI #1124023445 in Jacksonville, Florida
Provider Information
- NPI Number
- 1124023445
- Entity Type
- Individual
- Name
- John Michael Tierney, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 14, 2005
- Last Updated
- Nov 19, 2015
Practice Location
- Address
- 14540 OLD SAINT AUGUSTINE RD
- Address 2
- SUITE 2201
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32258-7418
- Phone
- (904) 880-1260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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