TIFFANY DESHELIA TYSON DNP FNP-C PMHNP-BC NPI 1497071153

NPI Information

NPI: 1497071153
Provider Name: TIFFANY DESHELIA TYSON, DNP, FNP-C, PMHNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2340 SPRING FOREST RD
RALEIGH, NC
ZIP 27615
Phone: (866) 389-2727
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Tiffany Deshelia Tyson, DNP, FNP-C, PMHNP-BC is a family nurse practitioner in Raleigh, NC with 16 years of experience. Tiffany Deshelia Tyson, DNP, FNP-C, PMHNP-BC NPI is 1497071153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2340 SPRING FOREST RD
RALEIGH, NC
ZIP 27615-528
Phone: (866) 389-2727
Fax: (401) 216-3854

The NPI 1497071153 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 4/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		179114	NORTH CAROLINA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5004707	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	5004707	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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