Tanisha Martin is a psychiatric/mental health nurse practitioner in Southaven, MS with 6 years of experience. Tanisha Martin NPI is 1649753161. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
8626 AIRWAYS BLVD
SOUTHAVEN, MS
ZIP 38671-603
Phone: (662) 832-0302
The NPI 1649753161 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/11/2018 and was last updated on 9/11/2018.