Needham-Jackson, Tisharie

Needham-Jackson, Tisharie is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Needham-Jackson, Tisharie can be contacted via phone (404) 605-2800.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Phone: (404) 605-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN234785 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN234785 Georgia

Profile Details

NPI number 1780253229
LBN Legal business name Needham-Jackson, Tisharie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2021
Last updated Jun 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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