Individual
TISHAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4134 E JOPPA RD STE 202, NOTTINGHAM, MD 21236-2278
(443) 622-7112
(443) 622-7112
Mailing address
4134 E JOPPA RD STE 202, NOTTINGHAM, MD 21236-2278
(443) 622-7112
(443) 622-7112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R243024
MD
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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