Zachary Tisdale
Nurse Practitioner
14365 Highway 16 W, De Kalb
Mississippi, 39328-7974
769-486-1000
Zachary Tisdale is a De Kalb, Mississippi based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Zachary Tisdale is 907900 for Nurse Practitioner in Mississippi. His current practice location is 14365 Highway 16 W, De Kalb. Patients can reach him at 769-486-1000 with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1730048794.
Zachary Tisdale has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Zachary Tisdale speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Zachary Tisdale |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Practice Address: | 14365 Highway 16 W, De Kalb,
Mississippi, 39328-7974 |
| Phone: | 769-486-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1730048794 |
| NPI Enumeration Date: | 16 Jan, 2026 |
| NPI Last Update On: | 16 Jan, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Zachary Tisdale are as mentioned below.
| License Number | Specialization | State | Status | |
| 907900 | Nurse Practitioner | Mississippi | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Zachary Tisdale
36 Melissa Loop,
Petal, Mississippi |
| Zip: | 39465-6303 |
| Phone Number: | 601-550-0784 |
Patients can reach Zachary Tisdale at
14365 Highway 16 W, De Kalb, Mississippi or can
call to book an appointment on 769-486-1000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.