Individual
MS. TANEISHA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12200 E 13 MILE RD # 200, WARREN, MI 48093-3093
(313) 595-2423
Mailing address
12200 E 13 MILE RD # 200, WARREN, MI 48093-3093
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023037250
MI
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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