Tanisha Keriel Tart
PMHNP | Nurse Practitioner
120 Coastal Horizons Dr, Shallotte
North Carolina, 28470-6094
910-754-4515
Tanisha Keriel Tart is a Shallotte, North Carolina based nurse practitioner. Active license number of Tanisha Keriel Tart is 27936 for Psych/Mental Health in South Carolina. Her current practice location is 120 Coastal Horizons Dr, Shallotte. Patients can reach her at 910-754-4515. Tanisha Keriel Tart is PMHNP and her NPI number (Unique professional ID assigned by NPPES) is 1407606486.
Tanisha Keriel Tart has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Tanisha Keriel Tart speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tanisha Keriel Tart |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Practice Address: | 120 Coastal Horizons Dr, Shallotte,
North Carolina, 28470-6094 |
| Phone: | 910-754-4515 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1407606486 |
| NPI Enumeration Date: | 25 Mar, 2024 |
| NPI Last Update On: | 30 Apr, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanisha Keriel Tart are as mentioned below.
| License Number | Specialization | State | Status | |
| 27936 | Psych/Mental Health | South Carolina | Primary | |
| 5019957 | Nurse Practitioner | North Carolina | Secondary | |
| 5019957 | Family | North Carolina | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tanisha Keriel Tart
615 Shipyard Blvd,
Wilmington, North Carolina |
| Zip: | 28412-6431 |
Patients can reach Tanisha Keriel Tart at
120 Coastal Horizons Dr, Shallotte, North Carolina or can
call to book an appointment on 910-754-4515.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.