MRS. STEPHANIE JEAN TISDAL


Address: 1824 Hillandale Rd, Durham, NC 27705-2650
Phone: 9193836107

MRS. STEPHANIE JEAN TISDAL (NPI# 1477029163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477029163
Entity Type Individual
Full Name MRS. STEPHANIE JEAN TISDAL
Credential MSN, A-GNP-C
Practice Address 1824 Hillandale Rd
Durham
NC 27705-2650
Mailing Address 8705 Brandon Station Rd
Raleigh
NC 27613-4307
Practice Telephone 9193836107
Mailing Telephone 4794625186
Enumeration Date 2018-10-19
Last Update Date 2018-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5011137 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
508 Fulton St, Durham, NC 277053875 9192860411

Office Location

Street Address 1824 HILLANDALE RD
City DURHAM
State NC
Zip Code 27705-2650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982666046 Carol Dashner Mcmorrow Physician Assistant 1824 Hillandale Rd, Durham, NC 27705-2650 2006-04-04
1013324110 Durham Vamc Clinic/Center 1824 Hillandale Rd, Durham, NC 27705-2650 2014-07-21
1376779793 Donald R Murphy Jr. Family Medicine 1824 Hillandale Rd, Vamc, Durham, NC 27705 2009-06-01
1902007198 Nicole Nilmeier Grant Internal Medicine 1824 Hillandale Rd, Va Medical Center, Durham, NC 27705-2650 2007-05-29
1528168572 Lori Ann Orlando Internal Medicine 1824 Hillandale Rd, Durham, NC 27705-2650 2006-09-22
1528174240 Jenny Rebecca Legge Pharmacist 1824 Hillandale Rd, Durham, NC 27705-2650 2006-08-23
1114963691 Mahlon David Grimsley Physician Assistant 1824 Hillandale Rd, Durham, NC 27705-2650 2006-06-21
1285683961 Thomas Finley Newcomb Internal Medicine 1824 Hillandale Rd, Durham, NC 27705-2650 2006-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
Find all providers in zip 27705

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881214005 Benjamin David Teague Nurse Practitioner 40 Medicine Circle Dumc 3094, Durham, NC 27710-0001 2020-04-17
1821633595 Caitlin Brown Macgregor Nurse Practitioner 20 Duke Medicine Circle Oncology Treatment Center, Durham, NC 27710-0001 2019-11-16
1447891718 Virginia Coe Nurse Practitioner Duke University Medical Center-heart Center, Durham, NC 27710-0001 2019-10-08
1417512302 Linda Fares Nurse Practitioner 3714 Meriwether Dr Apt H, Durham, NC 27704-2876 2019-05-06
1144783705 Modinat Adenike Adeleye Nurse Practitioner 3328 Ivey Wood Ln, Durham, NC 27703-4797 2019-04-10
1295234144 Rosanne Branciforte Nurse Practitioner 1320 Arbutus St, Durham, CT 06422-1702 2018-02-06
1770092314 Grace Anyango Otieno Nurse Practitioner 2907 Moorgate Ave, Durham, NC 27704-6037 2017-09-27
1578081501 Samantha Leann Schmidtke Nurse Practitioner 30 Duke Medicine Ciricle Dumc 3872, Durham, NC 27710-3976 2017-08-30
1689196461 Elizabeth Anne Romance Nurse Practitioner 2301 Erwin Rd Unit 3300, Durham, NC 27705-4699 2017-07-12
1003343757 Jennifer Snyder Nurse Practitioner 621 Ashford Ln, Durham, NC 27713-7142 2017-05-12
Find all providers in DURHAM

Competitor

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City DURHAM
Zip Code 27705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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