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Tasha L Hannah
Family Nurse Practitioner in Louisville, Mississippi
NPI 1265155121

Tasha L Hannah is a Family Nurse Practitioner based in Louisville, MS and is specialized in Family. Tasha L Hannah practices in Louisville, MS. The NPI Number for Tasha L Hannah is 1265155121 and holds a License No. 905974 (Mississippi).

The current practice location address for Tasha L Hannah is 2095 S Church Ave, Louisville, MS and can be reached out via phone at 662-803-0415.

Location: 2095 S Church Ave, Louisville, MS, 39339-0764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265155121
Provider Name
Tasha L Hannah
Credential
Provider Entity Type
Individual
Gender
Female
Address
2095 S Church Ave, Louisville, MS, 39339-0764
Phone Number
662-803-0415
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2095 S Church Ave
City
Louisville
State
Mississippi
Zip
39339-2949
Phone Number
662-803-0415
Fax Number
person
Provider Business Mailing Address Details
Address
2095 S Church Ave
City
Louisville
State
Mississippi
Zip
39339-2949
Phone Number
662-803-0415
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
905974 (Mississippi)
Definition
Definition to come...
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