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

MS. Tanisha M Henry, PA

Individual provider Medical Physician Assistant · NPI 1003879735

MS. Tanisha M Henry, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 2005, 21 years ago. Practices with Canton-Potsdam Hospital, a 239-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Florida, Hawaii and Illinois and 3 more.

Years since qualifying
21
Licensed in
CA, FL, HI, IL, NY, VA
In the registry since
2006
Specialties on file
7
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4500 San Pablo Rd S Vincent Stabile Bldg 550N
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103457 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110010456 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 029626 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA62280 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 724323 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence AMD1403 (HI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085009476 (IL)

Record details

NPI number1003879735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Canton-Potsdam Hospital — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jacksonville