TISA L MITCHELL-FULLWOOD

CARY, NC
NPI1053832717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5010016)
Enumeration Date2017-07-03
Last Update Date2022-08-31
Business Address
TISA L MITCHELL-FULLWOOD FNP
2994 KILDAIRE FARM RD
CARY, NC 27518-9614
Phone number: 919-387-1075
Mailing Address
TISA L MITCHELL-FULLWOOD FNP
2994 KILDAIRE FARM RD
CARY, NC 27518-9614
Phone number: 919-387-1075
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