Organization
ON-SITE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GREGORY TISDALE MSN, FNP-C (NURSE PRACTITIONER)
(228) 669-4505
Entity
Organization
Contact information
Practice address
10 CANEBRAKE BLVD STE 110-09, FLOWOOD, MS 39232-2211
(769) 333-8808
(769) 333-8809
Mailing address
10 CANEBRAKE BLVD STE 110-09, FLOWOOD, MS 39232-2211
(601) 724-9222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/28/2021
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