Individual provider · Type 1 NPI

Stephanie Jean Tisdal, MSN, A-GNP-C

Nurse Practitioner · Durham, NC

NPI number 1477029163 Active

Practice location

1824 Hillandale Rd
Durham, NC 27705-2650

Mailing address

8705 Brandon Station Rd
Raleigh, NC 27613-4307

Other practice locations

  • 508 Fulton St, Durham, NC 27705-3875 · (919) 286-0411

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5011137 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477029163

Stephanie Jean Tisdal, MSN, A-GNP-C's National Provider Identifier is 1477029163, issued on Oct 19, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Durham, NC. The record was last updated on Oct 19, 2018.