Tannisha Monique Loggins, Nurse Practitioner
Nurse Practitioner in Southaven, MS. Individual provider (NPI-1).
NPI number1669955423
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1669955423
- Entity type
- Individual (NPI-1)
- Name
- Tannisha Monique Loggins
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2018
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 902664 | MS | Yes |
Practice location
7601 Southcrest PkwySouthaven, MS 38671-4739
Phone 662-772-2980 · Fax 662-772-2960
Mailing address
965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446
Fax 901-227-8591
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All 27 Nurse Practitioner providers in Southaven · All 1,578 providers in Southaven
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