Individual
JENNIFER TYSON
Active
Individual
JENNIFER TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP07691
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP07691
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044440
STATE NARCOTICS LICENSE
LA
05
—
2433725
—
LA
01
—
AP07691
STATE LICENSE
LA
Enumeration date
02/14/2014
Last updated
08/01/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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