Provider Demographics
NPI:1588552467
Name:LOVE, TASHEMA MONIQUE (RN)
Entity type:Individual
Prefix:
First Name:TASHEMA
Middle Name:MONIQUE
Last Name:LOVE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:89 ARBOR CROWNE DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-7300
Mailing Address - Country:US
Mailing Address - Phone:678-310-5507
Mailing Address - Fax:
Practice Address - Street 1:89 ARBOR CROWNE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-7300
Practice Address - Country:US
Practice Address - Phone:770-876-1427
Practice Address - Fax:770-876-1427
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN259821163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy