Individual
TANISHULA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1784 26TH AVE S, SAINT PETERSBURG, FL 33712-3632
(727) 873-9504
Mailing address
1784 26TH AVE S, SAINT PETERSBURG, FL 33712-3632
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11046334
FL
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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