Individual
TISHAMBAY DENISE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5372 FALLOWATER LN STE 200, ROANOKE, VA 24018-0909
(216) 898-8399
(216) 898-8455
Mailing address
13921 HOLLOW WIND WAY UNIT 101, WOODBRIDGE, VA 22191-6057
(281) 770-9577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
198916
NC
363L00000X
Nurse Practitioner
Primary
0024177247
VA
Other
Enumeration date
11/23/2009
Last updated
04/09/2026
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