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TANISHA MARTIN
Psychiatric/Mental Health Nurse Practitioner
NPI: 1649753161IndividualAccepts Medicare
Specialties, Licenses & Credentials
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
902907(MS)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 8626 AIRWAYS BLVD
SOUTHAVEN, MS 38671 - Phone
- (662) 832-0302
Quick Facts
- NPI
- 1649753161
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 8
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