According to our database, the NPI number for Tisa L Fullwood is 1053832717 and activated since 6 years ago. Tisa L Fullwood is an individual provider who specializes in Family, and the primary practice location is 14121 Parke Long Ct Ste 201, Chantilly, VA 20151. You can also contact Tisa L Fullwood via telephone number is (855) 247-1940. Provider NPI information was last updated on 07/03/2017.

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Overview of Tisa L Fullwood

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/03/2017
  • Last updated: 07/03/2017

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 192143
  • License State: NC

Provider Mailing Address

  • Address: 7101 Indica Dr Apt 421
    Raleigh, NC 27613
  • Phone: 919-971-7983
  • Fax:

Provider Practice Location

  • Address: 14121 Parke Long Ct Ste 201
    Chantilly, VA 20151
  • Phone: 855-247-1940
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 192143
  • License State: NC
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tisa L Fullwood?
  • A: The npi number for Tisa L Fullwood is 1053832717.
  • Q: What are Tisa L Fullwood's specialties?
  • A: Tisa L Fullwood's specialties are Family and different specialities.
  • Q: What is the medical license for Tisa L Fullwood?
  • A: The medical license number for Tisa L Fullwood is 192143 and issued in NC in USA.
  • Q: Where is Tisa L Fullwood practice location?
  • A: Tisa L Fullwood is practicing at 14121 Parke Long Ct Ste 201, Chantilly, VA 20151.
  • Q: How to contact Tisa L Fullwood?
  • A: You can contact Tisa L Fullwood via 855-247-1940.