TIFFANY DESHELIA TYSON


Address: 300 N Grace St, Rocky Mount, NC 27804-5345
Phone: 2522109865

TIFFANY DESHELIA TYSON (NPI# 1497071153) 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) 1497071153
Entity Type Individual
Full Name TIFFANY DESHELIA TYSON
Credential PMHNP
Practice Address 300 N Grace St
Rocky Mount
NC 27804-5345
Mailing Address Po Box 2723
Rocky Mount
NC 27802-2723
Practice Telephone 2522109865
Practice Fax Number 2528225067
Mailing Telephone 2522109865
Mailing Fax Number 2528225067
Enumeration Date 2010-04-20
Last Update Date 2016-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 179114 NC Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
5004707 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
5004707 NC Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 300 N GRACE ST
City ROCKY MOUNT
State NC
Zip Code 27804-5345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316957319 Rita-kay Mabine Davis Psychiatry & Neurology 300 N Grace St, Rocky Mount, NC 27804-5345 2006-08-09
1194375691 Amanpreet Dhaliwal Physician Assistant 300 N Grace St, Rocky Mount, NC 27804-5345 2019-09-17
1154987725 Emily Maye Knight Physician Assistant 300 N Grace St, Rocky Mount, NC 27804-5345 2019-05-19
1902394067 Theodora Desronvil Registered Nurse 300 N Grace St, Rocky Mount, NC 27804-5345 2018-04-24
1700247970 Pharmblue North Carolina LLC Pharmacy 300 N Grace St, Suite 150, Rocky Mount, NC 27804-5345 2016-03-15
1962898296 Opportunities Industrialization Center, Inc Clinic/Center 300 N Grace St, Suite 200, Rocky Mount, NC 27804-5345 2015-04-14
1790193787 Charmaine Walker Dentist 300 N Grace St, Suite 200, Rocky Mount, NC 27804-5345 2014-07-23
1215349154 Nana Fosuwa Arkhurst-arthur Nurse Practitioner 300 N Grace St, Rocky Mount, NC 27804-5345 2014-05-27
1528478237 Opportunities Industrialization Center, Inc Clinic/Center 300 N Grace St, Rocky Mount, NC 27804-5345 2014-05-02
1639505621 Tania Janei Stack Social Worker 300 N Grace St, Rocky Mount, NC 27804-5345 2013-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992288419 Aubrey Kuester Physical Therapist Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 2018-09-11
1134636475 New Beginning Family Services of Nc Clinic/Center 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 2018-01-09
1033640776 Simply Frazier Beauty Salon Specialist 1141 Jeffreys Rd, Rocky Mount, NC 27804 2017-03-24
1164961942 Family Care Partners of North Carolina, Pllc Internal Medicine 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 2017-02-14
1164834867 Ward Specialty Pharmacy LLC Pharmacy 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 2014-05-29
1891107678 Patrick Ignacio Pharmacist 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 2014-05-28
1023437795 Down East Hearing Hearing Aid Equipment 1356 Benvenue Rd., Rocky Mount, NC 27804 2014-04-10
1659710416 Sterling House of Rocky Mount Assisted Living Facility 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 2013-06-14
1700223609 Keenya Anderson Staten Nurse Practitioner 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 2013-05-31
1578844528 Nathan Thomas Long Pharmacist 300 N Grace St Ste 150, Rocky Mount, NC 27804 2011-09-05
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871101774 Adrienne Louise Emery-ramirez Nurse Practitioner 132 Foy Dr, Rocky Mount, NC 27804-2417 2020-07-16
1184963704 Michelle D Highsmith Nurse Practitioner 90 Guardian Ct, Rocky Mount, NC 27804-3017 2013-02-01
1750656120 Cherity Gurganus Nurse Practitioner 90 Guardian Ct, Rocky Mount, NC 27804-3017 2012-03-17
1023301124 Thalia N Williams Nurse Practitioner 90 Guardian Ct, Rocky Mount, NC 27804-3017 2011-05-23
1942503834 Wanda Hilliard Nurse Practitioner 30 Technology Dr, Rocky Mount, VA 24151-3008 2010-12-14
1871722058 Valerie Northrup Nurse Practitioner 90 Guardian Ct, Rocky Mount, NC 27804-3017 2009-07-08
1063664274 Matthew Parker Padgett Nurse Practitioner 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 2008-10-21
1164672382 Tereon Nachon Adams Nurse Practitioner 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 2008-09-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235730078 Leetisha Lawana Dunia Nurse Practitioner 538 Wood Point Dr, Lillington, NC 27546-5971 2020-11-06
1881292134 Jurell Kirice Riley Nurse Practitioner 6301 Dumont Ln, Charlotte, NC 28269-6147 2020-10-09
1336756899 Jennifer Danks Nurse Practitioner 1845 Keener Rd, Clinton, NC 28328-8039 2020-09-29
1376159400 Ronald Jerome Patterson Jr. Nurse Practitioner 4204 Banks Stone Dr, Raleigh, NC 27603-4860 2020-09-23
1902411499 Solari Mental and Behavioral Health Services Nurse Practitioner 11206 Highcrest Dr, Huntersville, NC 28078-0610 2020-09-10
1699389684 Lasting Hope - Mental Health & Recovery Nurse Practitioner 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 2020-09-07
1588277727 Alison Stroh Nurse Practitioner 1313 Banyon Grove Loop, Cary, NC 27513-3936 2020-08-27
1902417488 Erin Klender Pllc Nurse Practitioner 12106 Willingdon Rd, Huntersville, NC 28078-5520 2020-08-10
1407466824 Theresa Uju Ofoemezie Nurse Practitioner 250 S San Agustin Dr, Mooresville, NC 28117-8581 2020-08-01
1669090213 Rashonda R. Wheeler Nurse Practitioner 8949 Cinnabay Dr, Charlotte, NC 28216-2189 2020-07-10
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Competitor

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City ROCKY MOUNT
Zip Code 27804

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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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