TASHA L HANNAH NPI 1265155121

NPI Information

  • NPI: 1265155121
  • Provider Name: TASHA L HANNAH
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2095 S CHURCH AVE
    LOUISVILLE, MS
    ZIP 39339
  • Phone: (662) 803-0415

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NPI Details

Tasha L Hannah is a family nurse practitioner in Louisville, MS. Tasha L Hannah NPI is 1265155121. 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:

2095 S CHURCH AVE
LOUISVILLE, MS
ZIP 39339-949
Phone: (662) 803-0415

The NPI 1265155121 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 9/26/2022 and was last updated on 10/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily905974MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyF04230105MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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