Individual
LEONORA C TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3600 NW CARY PKWY STE 104, CARY, NC 27513-8444
(919) 319-9219
(919) 481-1716
Mailing address
120 N MEDICAL DRIVE UNC-CH SON: CARRINGTON HALL, CHAPEL HILL, NC 27599-7460
(919) 966-4260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TISD-7K5PK
NC
390200000X
Student in an Organized Health Care Education/Training Program
270439
NC
Other
Enumeration date
06/08/2020
Last updated
02/06/2023
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