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

Tiara Funkhouser, PA

Individual provider Physician Assistant · NPI 1306578786

Tiara Funkhouser, PA is a Physician Assistant in Jacksonville, Florida. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4600 Beach Blvd
Jacksonville, FL 32207-4764
Phone: (904) 650-3906
Fax: (904) 585-8240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 122 Hawthorn Ln, Saint Marys, GA 31558-4028 — (904) 650-3906

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1306578786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 25, 2022
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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