Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYNISHA WALTON
Active Sole ProprietorTYNISHA WALTON is a Licensed Practical Nurse healthcare provider located in TIGNALL, Georgia. NPI 1710439294 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · TIGNALL, GA
Registration Details
- NPI Number
- 1710439294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2016 (9.7861201751465 yrs)
- Last Updated
- Oct 31, 2016
- License
-
LPN087389 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
174 ANDERSON STTIGNALL, GA, 306682739Browse GA providers · Browse ZIP 30668
- Phone
- 7064015070
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.