Tanisha Gisele Jarrett

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704322412 Issued in MI

Practice address

16250 Northland Dr Ste 207
Southfield, MI 48075-5227

Phone

(313) 543-3100

NPI assigned

Jan 7, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1992662290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755227",
            "telephone_number": "313-543-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755227",
            "telephone_number": "313-543-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "TANISHA",
        "middle_name": "GISELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704322412",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704322412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Chris Jarboa
• Jarc
• Louis Joseph Jarco, CRNA
• Jardon Eye Prosthetics, Inc.
• Frederick Ludwig Jardon, MD
• Jartll Corp
• Jacob Michael Jasinski, DO
• Diana Jasser, TLLP
• Salar Javanshir Heidari, MD
• Aneela Javeed

• Family Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.