Tisa L Mitchell-Fullwood, FNP
NPI #1053832717 in Cary, North Carolina
Provider Information
- NPI Number
- 1053832717
- Entity Type
- Individual
- Name
- Tisa L Mitchell-Fullwood, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 3, 2017
- Last Updated
- Aug 31, 2022
Practice Location
- Address
- 2994 KILDAIRE FARM RD
- City
- Cary
- State
- North Carolina
- ZIP Code
- 27518-9614
- Phone
- (919) 387-1075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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