Individual provider · Type 1 NPI

Tanisha Martin

Psychiatric/Mental Health Nurse Practitioner · Southaven, MS

NPI number 1649753161 Active

Practice location

8626 Airways Blvd
Southaven, MS 38671-2603

Mailing address

108 Bailey Patricia Ave
Oxford, MS 38655-7336

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X902907 (MS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1649753161

Tanisha Martin's National Provider Identifier is 1649753161, issued on Sep 11, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southaven, MS. The record was last updated on Sep 11, 2018.