Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACY REBAKA TISDALE, NP-C
ActiveLACY REBAKA TISDALE, NP-C is a Family Nurse Practitioner healthcare provider located in JACKSON, Tennessee. NPI 1033517768 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · JACKSON, TN
Registration Details
- NPI Number
- 1033517768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2014 (11.694841367699 yrs)
- Last Updated
- Apr 9, 2021
- Licenses
-
A004241 (AR)25492 (TN)
Practice Information
- Address
-
2054 S HIGHLAND AVEJACKSON, TN, 383017741Browse TN providers · Browse ZIP 38301
- Phone
- 7314998708
- Fax
- 7314998709
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| BETSY SWINDELL | FNP | 1679560676 |
| DR. JOHN MICHAEL BRILEY | DNP | 1356339055 |
| KRISTI JEANETTE RIDDLE | FNP | 1568452837 |
| MS. BETTY A ROE | APN BC | 1083692164 |
| MELISSA BAINES | APN | 1699743039 |
| KAREN WYATT | APN | 1861460222 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.