NPI 1043007909
Tisha Gatson
Practice location
- Address
- 2406 Autumn Oak CT, Champaign, IL 61822-7647
- Phone
- (217) 766-2650
Registered specialties (2)
Doula
Primary
Lactation Consultant (Non-RN)
Registry record
- NPI
- 1043007909
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Apr 2025
- Record last updated
- 23 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.