Tyeisha Wilkins Witherspoon, AGPCNP
Tyeisha Wilkins Witherspoon, AGPCNP is a Nurse Practitioner in Ellicott City, Maryland. Qualified in 2024, 2 years ago. Practices with Lifebridge Medical Associates LLC, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.
- Years since qualifying
- 2
- Licensed in
- MD
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
4801 Dorsey Hall Dr Ste 226Ellicott City, MD 21042-7764
Phone: (410) 997-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence R223487 (MD) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence R223487 (MD) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence R223487 (MD) |
Record details
| NPI number | 1720800600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGPCNP |
| Sole proprietor | No |
| NPI enumerated | October 30, 2024 |
| Last updated in NPPES | December 6, 2024 |
| Certification date | December 6, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Lifebridge Medical Associates Llc — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Ellicott City
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Mobile Memory and Health, LLC
2893 Evergreen Way, Ellicott City, MD 21042-1052 · (410) 627-5213
-
Rachel Ondrish, NP
8104 Valley Ln, Ellicott City, MD 21043-3434 · (443) 502-0131
-
Danielle Smith, NP
2635 Kidwell Pl, Ellicott City, MD 21043-4586 · (443) 804-8379
-
Jisha S Varghese, A-GNP-C
3257 Ramblewood Rd, Ellicott City, MD 21042-2445 · (443) 518-9907