Individual
TIGIST YISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7569 KIMBERTON CT, MANASSAS, VA 20111-1762
(571) 458-8206
(000) 000-0000
Mailing address
7569 KIMBERTON CT, MANASSAS, VA 20111-1762
(571) 458-8206
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025047645
VA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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