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

MS. Phyllis Kirby Tisdale, FNP

Individual provider Family Nurse Practitioner · NPI 1235695974

MS. Phyllis Kirby Tisdale, FNP is a Family Nurse Practitioner in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

145 E 124th St
Los Angeles, CA 90061
Phone: (562) 221-0555
Fax: (562) 595-7977
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95010999 (CA)

Record details

NPI number1235695974
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 19, 2019
Last updated in NPPESFebruary 27, 2019

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