JENACA RANAE TILSON PHYSICIAN ASSISTANT NPI 1588181960

NPI Information

Jenaca Ranae Tilson, PHYSICIAN ASSISTANT is a medical physician assistant in Indianapolis, IN with 7 years of experience. Jenaca Ranae Tilson, PHYSICIAN ASSISTANT NPI is 1588181960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-2345

The NPI 1588181960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2017 and was last updated on 8/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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