Individual provider · Type 1 NPI

Donald Gregory Tisdale Jr., NP

Family Nurse Practitioner · Flowood, MS

NPI number 1174006522 Active

Practice location

10 Canebrake Blvd Ste 110-09
Flowood, MS 39232-2211

Call (769) 333-8808 Map

Fax (769) 333-8809

Other practice locations

  • 1227 N State St Ste 101, Jackson, MS 39202-2002 · (601) 355-2485

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X902899 (MS)

Family Nurse Practitioner: Definition to come...

Other family nurse practitioner providers in Flowood

See all in Flowood →

About NPI 1174006522

Donald Gregory Tisdale Jr., NP's National Provider Identifier is 1174006522, issued on Sep 12, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flowood, MS. The record was last updated on May 26, 2021.