Individual provider · Type 1 NPI

Elise Bailey Tisera, NP

Nurse Practitioner · Charlotte, NC

NPI number 1689442816 Active

Practice location

1001 Blythe Blvd
Charlotte, NC 28203-5866

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 · (704) 381-9900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X5019270 (NC)
Nurse Practitioner Primary 363L00000X5019270 (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 1689442816

Elise Bailey Tisera, NP's National Provider Identifier is 1689442816, issued on Dec 18, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.