Individual
TISHA LYNN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(888) 890-2501
Mailing address
1974 WALTON NICHOLSON RD, WALTON, KY 41051
(888) 890-2501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4027580
KY
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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