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

Justin James Tennyson, MD

Individual provider Emergency Medicine Physician · NPI 1265871172

Justin James Tennyson, MD is an Emergency Medicine Physician in Fort Myers, Florida. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-2606
Fax: (239) 343-3695
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MT204008 (PA)

Record details

NPI number1265871172
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2013
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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