Individual
TANISHA LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN204055
GA
Other
Enumeration date
02/13/2019
Last updated
03/16/2022
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