Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DONALD GREGORY TISDALE JR., NP
Active Sole ProprietorMR. DONALD GREGORY TISDALE JR., NP is a Family Nurse Practitioner healthcare provider located in FLOWOOD, Mississippi. NPI 1174006522 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FLOWOOD, MS
Registration Details
- NPI Number
- 1174006522
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2018 (7.9377109750905 yrs)
- Last Updated
- May 26, 2021
- License
-
902899 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 CANEBRAKE BLVD STE 110-09FLOWOOD, MS, 392322211Browse MS providers · Browse ZIP 39232
- Phone
- 7693338808
- Fax
- 7693338809
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in FLOWOOD, MS
| Name | Credential | NPI |
|---|---|---|
| SHARA M BECKWITH | CFNP | 1609864974 |
| JOANNA NELSON | FNP-BC | 1457302424 |
| CYNTHIA JOHNSON DEAN | DNP | 1205870706 |
| PENNY D. VANCE | FNP-BC | 1588690689 |
| DR. SHELBY B POLK | DNP, APRN, FNP-BC | 1912014648 |
| MICHAEL C NELMS | CFNP | 1639255458 |
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.