Individual
TISHA NICOLE MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
116 MCCLELLAN RD, PHILIPPI, WV 26416-8076
(304) 457-2800
(304) 457-4011
Mailing address
116 MCCLELLAN RD, PHILIPPI, WV 26416-8076
(304) 457-2800
(304) 457-4011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80735
WV
207Q00000X
Family Medicine Physician
80735
WV
363LF0000X
Family Nurse Practitioner
Primary
80735
WV
Other
Enumeration date
03/29/2023
Last updated
09/16/2025
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