Individual
TISHEILA DIANE WHITTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-6831
(803) 434-7910
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24754
SC
363LA2100X
Acute Care Nurse Practitioner
24754
SC
363LA2200X
Adult Health Nurse Practitioner
24754
SC
363LC0200X
Critical Care Medicine Nurse Practitioner
24754
SC
363LF0000X
Family Nurse Practitioner
Primary
24754
SC
Other
Enumeration date
05/25/2021
Last updated
04/10/2025
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