Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stephanie Jean Tisdal, MSN, A-GNP-C

Individual provider Nurse Practitioner · NPI 1477029163

Mrs. Stephanie Jean Tisdal, MSN, A-GNP-C is a Nurse Practitioner in Durham, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1824 Hillandale Rd
Durham, NC 27705-2650
Phone: (919) 383-6107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 508 Fulton St, Durham, NC 27705-3875 — (919) 286-0411

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5011137 (NC)

Record details

NPI number1477029163
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , A-GNP-C
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESOctober 19, 2018

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