IndividualActive
Abigail Tattersall, PAC
NPI 1073697595 · Physician Assistant · Fort Myers, FL
Provider details
- NPI number
- 1073697595
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 0836 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16271 Bass Rd
Fort Myers, FL 33908-3616
Phone: (239) 343-7100
Fax: (239) 343-7190
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2147
Fort Myers, FL 33902-2147
Additional practice locations (1)
- 8 Optical AveKeene, NH 03431-4319Phone: (413) 588-8656
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2022-09-01
- Certified
- 2022-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.