Individual
CONNIE JO TISHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- C
Contact information
Practice address
317 BLAIR PIKE, PERU, IN 46970-1507
(765) 480-9525
Mailing address
317 BLAIR PIKE, PERU, IN 46970-1507
(765) 480-9525
(765) 487-5361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009219A
IN
Other
Enumeration date
08/08/2019
Last updated
04/02/2025
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