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

Tannisha Monique Loggins, NURSE, PRACTITIONER

Individual provider Nurse Practitioner · NPI 1669955423

Tannisha Monique Loggins, NURSE, PRACTITIONER is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2015, 11 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2018
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Practice location Address checks out

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone: (662) 772-2980
Fax: (662) 772-2960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 902664 (MS)

Record details

NPI number1669955423
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE , PRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 7, 2018
Last updated in NPPESNovember 19, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southaven