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Individual

TYSHEKA CEPHAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, PMHNP-BC

Contact information

Practice address
416 E PASS RD, GULFPORT, MS 39507-3236
(228) 800-4261
Mailing address
416 E PASS RD, GULFPORT, MS 39507-3236
(228) 800-4261

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0245952
MD
363LF0000X
Family Nurse Practitioner
Primary
904580
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PMH06260019
MS

Other

Enumeration date
10/02/2019
Last updated
07/29/2026
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