MEDICARE: TAHISHA BATRICE HANNOR MSN, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	1040928	TX
2	207Q00000X	Family Medicine Physician	110113	WV
3	163W00000X	Registered Nurse	RN2353974	MA
4	207Q00000X	Family Medicine Physician	26NJ15390900	NJ
5	363LF0000X	Family Nurse Practitioner	0024196754	VA
6	363LF0000X	Family Nurse Practitioner	32163	SC
7	363LF0000X	Family Nurse Practitioner	RN167622	GA
8	207Q00000X	Family Medicine Physician	10004428	OR
9	207Q00000X	Family Medicine Physician	5022171	NC
10	163W00000X	Registered Nurse	102634	HI

General Provider Information

NPI Number	:	1427397215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAHISHA BATRICE HANNOR MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	2782 N COBB PKWY
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30152-3472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2782 N COBB PKWY
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30152-3472
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	06/18/2026

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