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

Tisha Y Phelps, CPNP-AC

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1194052456

Tisha Y Phelps, CPNP-AC is a Critical Care Pediatric Nurse Practitioner in Sacramento, California. Licensed in California and Utah. Registered with an NPI since 2009.

Licensed in
CA, UT
In the registry since
2009
Specialties on file
2

Practice location Address checks out

2315 Stockton Blvd
Sacramento, CA 95817
Phone: (916) 703-2372
Show map & directions

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

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 23142 (CA)
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence 6225962-4405 (UT)

Record details

NPI number1194052456
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedNovember 6, 2009
Last updated in NPPESAugust 23, 2018

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