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

Mrs. Jeanette Tuller, MMS, PA-C

Individual provider Medical Physician Assistant · NPI 1255880696

Mrs. Jeanette Tuller, MMS, PA-C is a Physician Assistant in Fort Lauderdale, Florida. Qualified in 2016, 10 years ago. Practices with Tenet Florida Physician Services II, LLC, a 101-clinician group. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420
Phone: (954) 792-1010
Fax: (954) 792-1199
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9109893 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9109893 (FL)

Record details

NPI number1255880696
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorYes
NPI enumeratedSeptember 27, 2016
Last updated in NPPESApril 26, 2024
Certification dateApril 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tenet Florida Physician Services Ii, Llc — 101 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Fort Lauderdale