Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY TISDALE
ActiveZACHARY TISDALE is a Nurse Practitioner healthcare provider located in DE KALB, Mississippi. NPI 1730048794 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · DE KALB, MS
Registration Details
- NPI Number
- 1730048794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2026 (0.58736236990148 yrs)
- Last Updated
- Jan 16, 2026
- License
-
907900 (MS)
Practice Information
- Address
-
14365 HIGHWAY 16 WDE KALB, MS, 393287974Browse MS providers · Browse ZIP 39328
- Phone
- 7694861000
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.