| Dr Tierra Simone Wells, DNP, FNP-C, PMHNP-BC | |
|
275 Country Club Dr, Stockbridge, GA 30281-7349 | |
| (770) 474-8400 | |
| (770) 474-3738 |
| Full Name | Dr Tierra Simone Wells |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 275 Country Club Dr, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871986331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN216891 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN216891 (Georgia) | Secondary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tierra Simone Wells, DNP, FNP-C, PMHNP-BC 275 Country Club Dr, Stockbridge, GA 30281-7349 Ph: (770) 474-8400 | Dr Tierra Simone Wells, DNP, FNP-C, PMHNP-BC 275 Country Club Dr, Stockbridge, GA 30281-7349 Ph: (770) 474-8400 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281 Phone: 770-962-3642 Fax: 770-962-3643 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860 | |
Shanea R Mcdaniel, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281 Phone: 803-617-9953 |