Search › Virginia › 363L00000X
Jennifer Tisdale, PA-C
NPI 1154814697 · on the registry since 2018
Practice
- Address
- 7401 Granby St
Norfolk, VA 23505 - Phone
- (757) 388-9925
- Fax
- (757) 965-8519
- Organisation at this address
- Sentara Medical Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 7401 Granby St, Norfolk, VA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-03
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 Virginia