IndividualActive
Jennifer Tyler, PA-C
NPI 1083684484 · Surgical Physician Assistant · Davenport, IA
Provider details
- NPI number
- 1083684484
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 001622 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3385 Dexter Ct
Suite 300
Davenport, IA 52807-3471
Phone: (563) 344-9292
Fax: (563) 344-9573
Approximate (ZIP-level) locationGet directions
Mailing address
3385 Dexter Ct
Davenport, IA 52807-3471
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.