Individual
TYSHEKA CEPHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1526 MILLS AVE, GULFPORT, MS 39501-3618
(228) 800-4261
Mailing address
1526 MILLS AVE, GULFPORT, MS 39501-3618
(228) 800-4261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0245952
MD
363LF0000X
Family Nurse Practitioner
Primary
904580
MS
Other
Enumeration date
10/02/2019
Last updated
07/19/2024
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