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

Mrs. Jean Margaret Tully, RPA-C

Individual provider Physician Assistant · NPI 1336205095

Mrs. Jean Margaret Tully, RPA-C is a Physician Assistant in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

1 Stadium Dr Student Health Service
Stony Brook, NY 11794-3191
Phone: (631) 632-6740
Fax: (631) 632-6936
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005514-1 (NY)

Record details

NPI number1336205095
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESOctober 8, 2014

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