Provider Demographics
NPI:1124828033
Name:HARMON, TASIANA B
Entity type:Individual
Prefix:MRS
First Name:TASIANA
Middle Name:B
Last Name:HARMON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 HELM LN NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-5686
Mailing Address - Country:US
Mailing Address - Phone:770-568-3427
Mailing Address - Fax:
Practice Address - Street 1:779 HELM LN NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-5686
Practice Address - Country:US
Practice Address - Phone:770-568-3427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide