Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tahira Kaneka Love-Glenn, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1275097362

Tahira Kaneka Love-Glenn, NURSEPRACTITIONER is a Gerontology Nurse Practitioner in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2019.

Licensed in
GA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

3565 Georgia Highway 20 SE
Conyers, GA 30013-2800
Phone: (404) 430-1757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN239826 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN239826 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN239826 (GA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN239826 (GA)

Record details

NPI number1275097362
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 23, 2019
Last updated in NPPESAugust 10, 2024
Certification dateAugust 10, 2024

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