Individual
TANISHA LEANN DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1333 TAYLOR ST STE 6F, COLUMBIA, SC 29201-2953
(803) 296-3273
(803) 296-7061
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22664
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
22664
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5833
—
SC
Enumeration date
02/26/2019
Last updated
11/13/2024
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