TANISHA MARTIN

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1649753161

Practice Address

8626 AIRWAYS BLVD
Southaven, MS 38671

Phone: (662) 832-0302

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 902907 (MS)

Frequently Asked Questions

NPI 1649753161 is the National Provider Identifier for TANISHA MARTIN, a Nurse Practitioner - Psychiatric/Mental Health provider located in Southaven, MS. This NPI was enumerated on September 11, 2018.
TANISHA MARTIN practices at 8626 AIRWAYS BLVD, Southaven, MS 38671.

Quick Facts

NPI
1649753161
Type
Individual
Enumerated
Sep 11, 2018
Last Updated
Sep 11, 2018

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