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 6 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.
Popular Providers
-
Little, Alora
5699 Getwell Rd Ste 5 , Southaven MS 38672-7312 -
Booker, Mary Manning
2686 Pinnacle Dr , Southaven MS 38672-6595 -
Collins, Cristy
6880 Cobblestone Blvd , Southaven MS 38672-9313 -
Arrington, Tabitha Flowers
5915 Getwell Rd Bldg B , Southaven MS 38672-6455 -
Kendrick, Teresa D
5699 Getwell Rd, Suite 5 Building F, Southaven MS 38672-7312 -
Ball, Olivia Jane
340 Stateline Rd W , Southaven MS 38671-1610 -
Jackson, Amanda Degnan
5699 Getwell Rd Ste 5 , Southaven MS 38672-7312 -
Conner, Katelyn Lee
6880 Cobblestone Blvd Ste 2 , Southaven MS 38672