Martin, Tanisha
Martin, Tanisha is an individual health care provider with primary practice located at 8626 Airways Blvd , Southaven MS 38671-2603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin, Tanisha can be contacted via phone (662) 832-0302.Contact Information
Primary practice address
8626 Airways Blvd
Southaven MS 38671-2603
Phone: (662) 832-0302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 902907 | Mississippi |
Profile Details
| NPI number | 1649753161 |
|---|---|
| LBN Legal business name | Martin, Tanisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2018 |
| Last updated | Sep 11th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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