Individual
TANISHA L DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 SCENIC HWY S, SNELLVILLE, GA 30078-3115
(470) 595-6009
(470) 688-3146
Mailing address
2330 SCENIC HWY S, SNELLVILLE, GA 30078-3115
(470) 595-6009
(470) 688-3146
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC006302
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN263641
GA
Other
Enumeration date
02/21/2023
Last updated
05/06/2025
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