Zachary Tisdale

NPI #1730048794 in De Kalb, Mississippi

Provider Information

NPI Number
1730048794
Entity Type
Individual
Name
Zachary Tisdale
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 16, 2026
Last Updated
Jan 16, 2026

Practice Location

Address
14365 HIGHWAY 16 W
ZIP Code
39328-7974
Phone
(769) 486-1000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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