Individual
TANESHA SHANEY CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, AGACNP
Contact information
Practice address
4316 JAMES CASEY ST STE 200, AUSTIN, TX 78745-1116
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208357, DALLAS, TX 75320-8357
(512) 485-7200
(737) 304-0942
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1103776
TX
Other
Enumeration date
03/27/2023
Last updated
05/12/2026
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