Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Tallis, PA-C

Individual provider Medical Physician Assistant · NPI 1356626865

Jennifer Tallis, PA-C is a Physician Assistant in Newark, Delaware. Qualified in 2011, 15 years ago. Practices with Union Hospital of Cecil County, a 283-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
15
Licensed in
DE
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4755 Ogletown Stanton Rd
Newark, DE 19718-0001
Phone: (302) 733-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C5-0000790 (DE)

Record details

NPI number1356626865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2011
Last updated in NPPESOctober 15, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Union Hospital Of Cecil County — 283 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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