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

Tanisha Martin

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649753161

Tanisha Martin is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2018, 8 years ago. Practices with Uppal Medical Center LLC, a 131-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
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Practice location Address checks out

8626 Airways Blvd
Southaven, MS 38671-2603
Phone: (662) 832-0302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 902907 (MS)

Record details

NPI number1649753161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESSeptember 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Uppal Medical Center Llc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Southaven