Dr TANISHA E ANDERSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
JACKSONVILLE LUNG CLINIC LLC
1350 13TH AVE S
JACKSONVILLE
FL
322503203
Tel: 5127303056
| Npi | 1124526025 |
| Pac Id | 3173872918 |
| Professional Enrollment Id | I20180828000477 |
| Last Name | ANDERSON |
| First Name | TANISHA |
| Middle Name | E |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | JACKSONVILLE LUNG CLINIC LLC |
| Group Practice Pac Id | 4486900412 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 1350 13TH AVE S |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 322503203 |
| Phone Number | 5127303056 |
| Hospital Affiliation Ccn 1 | 100117 |
| Hospital Affiliation Lbn 1 | BAPTIST MEDICAL CENTER BEACHES |
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| Professional Accepts Medicare Assignment | Y |
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