Individual provider · Type 1 NPI

Grace Naa Ayorkor Tisdale, MD

Student in an Organized Health Care Education/Training Program · Durham, NC

NPI number 1124960059 Active

Practice location

2301 Erwin Rd
Durham, NC 27705-4699

Call (919) 684-8111 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124960059

Grace Naa Ayorkor Tisdale, MD's National Provider Identifier is 1124960059, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Durham, NC. The record was last updated on Apr 8, 2026.