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Individual
TENNISHA EDWARDS
Active
Individual
TENNISHA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
630137
NY
163WP0200X
Pediatric Registered Nurse
RN261933
GA
363L00000X
Nurse Practitioner
382456
NY
363L00000X
Nurse Practitioner
RN261933
GA
363LP0200X
Pediatric Nurse Practitioner
382456
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
RN261933
GA
Other
Enumeration date
05/29/2014
Last updated
05/04/2026
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