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JERRY L TYNER
NPI 1851704407
Student in an Organized Health Care Education/Training Program in Fountain Valley, CA

Active since June 10, 2014
17350 MOUNT HERRMANN ST STE A, FOUNTAIN VALLEY, CA 92708(714) 444-3463(714) 444-1768 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry L Tyner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY L TYNER (NPI 1851704407) is an individual student in an organized health care education/training program in Fountain Valley, California, licensed in California (22360) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1851704407
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJERRY L TYNER
Location Address17350 MOUNT HERRMANN ST STE AFountain Valley, CA 92708-4114
Mailing Address17350 Mount Herrmann St Ste AFountain Valley, CA 92708-4114 · (714) 444-3463 · Fax (714) 444-1768
Phone(714) 444-3463
Fax(714) 444-1768
Sole ProprietorYes
Enumeration DateJune 10, 2014
✔ NPI 1851704407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 22360
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17350 MOUNT HERRMANN ST STE A, Fountain Valley, CA 92708
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN MODERSITZKI CORBIN ASW
Social Worker (Clinical)
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-3463
SARAH G. PETERSON
Marriage & Family Therapist
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-3463
JENNIE NEWMAN LCSW
Social Worker (Clinical)
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-3463
MR. BENJAMIN DAVID PREISENDORF
Marriage & Family Therapist
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-3436
JESSICA SUE PROFFIT MSW
Social Worker (Clinical)
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-3463
KARLYN JOHNSON
Counselor (Professional)
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-3463
JESSICA LARAE TAYLOR MFT TRAINEE
Marriage & Family Therapist
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (949) 899-2497
SCOTT DAVID STEFFENSEN
Counselor (Mental Health)
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708
Orange County (714) 444-3463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Tyner's NPI number?

The NPI number for Jerry Tyner is 1851704407. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Jerry Tyner located?

Jerry Tyner practices at 17350 Mount Herrmann St Ste A, Fountain Valley, CA 92708. The listed phone number is (714) 444-3463.

What is Jerry Tyner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jerry Tyner was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.