| Doctor Name: | VIRGINIA CAMPBELL TYSINGER |
| NPI Number: | 1033242821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.,MS,CNS |
| License Number: | 100210 |
| Business Practice Address: | 232 High House Rd Cary, NC - 275134203 |
| Business Phone Number: | 9194603370 |
| Business Fax Number: | 9194603359 |
| Mailing Address: | 3329 Hawkins Ave, SANFORD |
| State: | NC |
| Postal Code: | 273306942 |
| Phone Number: | 9197751659 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 100210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |