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1669955423
TANNISHA MONIQUE LOGGINS
SOUTHAVEN, MS
NPI
1669955423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 902664)
Enumeration Date
2018-09-07
Last Update Date
2019-11-19
Business Address
TANNISHA MONIQUE LOGGINS Nurse Practitioner
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-772-2980
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Mailing Address
TANNISHA MONIQUE LOGGINS Nurse Practitioner
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number:
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