person
Tanisha Martin
Psychiatric/Mental Health Nurse Practitioner in Southaven, Mississippi
NPI 1649753161

Tanisha Martin is a Psychiatric/Mental Health Nurse Practitioner based in Oxford, MS and is specialized in Psychiatric/Mental Health. Tanisha Martin practices in Southaven, MS. The NPI Number for Tanisha Martin is 1649753161 and holds a License No. 902907 (Mississippi).

The current practice location address for Tanisha Martin is 8626 Airways Blvd, Southaven, MS and can be reached out via phone at 662-832-0302.

Location: 8626 Airways Blvd, Southaven, MS, 38655-7336
person
Provider Profile Details
NPI Number
1649753161
Provider Name
Tanisha Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
8626 Airways Blvd, Southaven, MS, 38655-7336
Phone Number
662-832-0302
Fax Number
Provider Enumeration Date
09/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8626 Airways Blvd
City
State
Zip
38671-2603
Phone Number
662-832-0302
Fax Number
person
Provider Business Mailing Address Details
Address
8626 Airways Blvd
City
State
Zip
38671-2603
Phone Number
662-832-0302
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
902907 (Mississippi)
Definition
Definition to come...
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