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Search › Mississippi › Family Nurse Practitioner

Donald Tisdale, NP

NPI 1174006522 · on the registry since 2018 · sole proprietor

Practice

Address
10 Canebrake Blvd Ste 110-09
Flowood, MS 39232
Phone
(769) 333-8808
Fax
(769) 333-8809
Organisation at this address
Rx 4 Life
Micare, Llc
Avickwel, Llc
Loyal Healthcare
On-Site Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 1227 N State St Ste 101, Jackson, MS

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-26
Status
Not present in the most recent federal file

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 Mississippi