Jesse Tien

Physician Assistant · Caledonia, MI

Individual Active NPI

NPI number 1285029249

Practice location

10047 Crossroad Ct SE
Caledonia, MI 49316-7316
Phone
(616) 685-8850

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NPI record

NPI
1285029249
Entity type
Individual (Type 1)
Enumeration date
April 6, 2015
Last updated
December 3, 2021
Certified
December 3, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5601007292 MI

Mailing address

1900 44TH St SE
Kentwood, MI 49508-5008

About Jesse Tien

Jesse Tien is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 10047 Crossroad Ct SE, Caledonia, MI 49316-7316. The NPI number 1285029249 was assigned on April 6, 2015 and the record was last updated on December 3, 2021.

Jesse Tien lists a license in the registry: #5601007292 (MI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse Tien?

The NPI number is 1285029249.

What is the phone number of Jesse Tien?

The phone number listed for the practice location is (616) 685-8850.

Where is Jesse Tien located?

10047 Crossroad Ct SE, Caledonia, MI 49316-7316.

What is the taxonomy code for Jesse Tien?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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