Individual provider · Type 1 NPI

Tieshau Middlebrooks, APN

Psychiatric/Mental Health Nurse Practitioner · Mount Laurel, NJ

NPI number 1063583375 Active

Practice location

1200 S Church St Ste 20
Mount Laurel, NJ 08054-2936

Call (609) 937-3491 Map

Fax (609) 853-0221

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ0089500 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063583375

Tieshau Middlebrooks, APN's National Provider Identifier is 1063583375, issued on Nov 10, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mount Laurel, NJ. The record was last updated on Jun 7, 2022.