Dooley, Tisha

Dooley, Tisha is an individual health care provider with primary practice located at 2647 S Saint Elizabeth Blvd Ste 100 , Gonzales LA 70737-5019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dooley, Tisha can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
2647 S Saint Elizabeth Blvd Ste 100 Gonzales LA 70737-5019
Phone: (225) 765-5500
Fax: (225) 644-5415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP03455 Louisiana

Profile Details

NPI number 1881692622
LBN Legal business name Dooley, Tisha
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Sep 2nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881692622 NPPES
Louisiana MEDICAID 1564877

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