Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jill Rogers Tisdale

Individual provider School Psychologist · NPI 1720426422

Mrs. Jill Rogers Tisdale is a School Psychologist in Lake City, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013

Practice location Address checks out

318 E Main St
Lake City, SC 29560-2116
Phone: (843) 374-2393
Fax: (843) 374-7245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 180404 (SC)

Record details

NPI number1720426422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2013
Last updated in NPPESJune 5, 2013

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