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

Jeremiah Jason Tyler

Individual provider Physician Assistant · NPI 1831589860

Jeremiah Jason Tyler is a Physician Assistant in Fort Campbell, Kentucky. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8372
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1831589860
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2015
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

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