Lacy Rebaka Tisdale, NP-C
NPI #1033517768 in Jackson, Tennessee
Provider Information
- NPI Number
- 1033517768
- Entity Type
- Individual
- Name
- Lacy Rebaka Tisdale, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Dec 11, 2014
- Last Updated
- Apr 9, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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