Tanisha Nicole Stephens, is a
Case Manager/care Coordinator based in Gulfport, Mississippi. Tanisha Nicole Stephens is licensed to practice in NU (license number ) and her current practice location is
1600 Broad Ave, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 863-1132.
NPI number for Tanisha Nicole Stephens is 1467948828 and her current mailing address is 1600 Broad Ave, Gulfport, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467948828.
Healthcare Provider's Profile
| Full Name | Tanisha Nicole Stephens |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1600 Broad Ave, Gulfport, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467948828
- Provider Enumeration Date: 07/09/2018
- Last Update Date: 02/19/2020
Medical Identifiers
Medical identifiers for Tanisha Nicole Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467948828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (NU) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanisha Nicole Stephens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tanisha Nicole Stephens, 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 863-1132 | Tanisha Nicole Stephens, 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 863-1132 |
Reviews and Comments