TANISHA STEPHENS

Case Manager/Care Coordinator

Active Individual
NPI: 1467948828

Practice Address

1600 BROAD AVE
Gulfport, MS 39501

Phone: (228) 863-1132

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -
Counselor 101Y00000X No -

Frequently Asked Questions

NPI 1467948828 is the National Provider Identifier for TANISHA STEPHENS, a Case Manager/Care Coordinator provider located in Gulfport, MS. This NPI was enumerated on July 9, 2018.
TANISHA STEPHENS practices at 1600 BROAD AVE, Gulfport, MS 39501.

Quick Facts

NPI
1467948828
Type
Individual
Enumerated
Jul 9, 2018
Last Updated
Feb 19, 2020

Nearby Providers