Search › Louisiana › 101YM0800X
Timika Jones Tisdale
NPI 1013454917 · on the registry since 2017
Practice
- Address
- 6051 Roma Dr Apt 109
Shreveport, LA 71105 - Phone
- (318) 402-2566
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana