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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER NICOLE TISDALE, PA-C

Active

JENNIFER NICOLE TISDALE, PA-C is a Nurse Practitioner healthcare provider located in NORFOLK, Virginia. NPI 1154814697 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · NORFOLK, VA

Registration Details

NPI Number
1154814697
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2018 (8.1800791858056 yrs)
Last Updated
Oct 3, 2024
License
0110006241 (VA)

Practice Information

Address
7401 GRANBY ST
NORFOLK, VA, 235053406
Browse VA providers · Browse ZIP 23505
Phone
7573889925
Fax
7579658519
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in NORFOLK, VA

Name Credential NPI
ANGELA D MAHER NP 1437155579
LINDA C SAWYER NP 1841296746
CORI O DAMUTH NP 1295731180
AUDREY M WALKER NP 1528064334
MARY ALLAN F. MARTINEZ FNP 1992783005
MRS. JEANETTE LOUISE MCGRAW FNP 1417920729
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.