| NPI | 1740989581 |
|---|---|
| Doing Business As | TYSHEKA M CEPHAS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ARMENTA Credentialing Specialist 228-800-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-12-27 |