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

Tizi K Fobanjong, PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1790517472

Tizi K Fobanjong, PMHNP is a Psychiatric/Mental Health Registered Nurse in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

100 Grove St Ste 203
Worcester, MA 01605-2630
Phone: (508) 250-8378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN2342607 (MA)

Record details

NPI number1790517472
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

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