MRS. TIESHAU MIDDLEBROOKS APN NPI 1063583375

NPI Information

  • NPI: 1063583375
  • Provider Name: MRS. TIESHAU MIDDLEBROOKS, APN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1200 S CHURCH ST STE 20
    MOUNT LAUREL, NJ
    ZIP 08054
  • Phone: (609) 937-3491

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NPI Details

MRS. Tieshau Middlebrooks, APN is a psychiatric/mental health nurse practitioner in Mount Laurel, NJ. MRS. Tieshau Middlebrooks, APN NPI is 1063583375. 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:

1200 S CHURCH ST STE 20
MOUNT LAUREL, NJ
ZIP 08054-936
Phone: (609) 937-3491
Fax: (609) 853-0221

The enumeration date for this NPI number is 11/10/2006 and was last updated on 6/7/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ0089500NEW JERSEYYes

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: 3/30/2025

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