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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851704407

Jerry L Tyner is a Student in an Organized Health Care Education/Training Program in Fountain Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fountain Valley, CA

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 22360 (CA)

Record details

NPI number1851704407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2014
Last updated in NPPESJune 10, 2014

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