Tasha L Hannah
NPI #1265155121 in Louisville, Mississippi
Provider Information
- NPI Number
- 1265155121
- Entity Type
- Individual
- Name
- Tasha L Hannah
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 2095 S CHURCH AVE
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339-2949
- Phone
- (662) 803-0415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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