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Individual

MRS. TIARA LYN FERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
174 MENTAL HEALTH RD, LOGAN, WV 25601
(304) 792-7130
(304) 792-7146
Mailing address
160 E 2ND AVE, WILLIAMSON, WV 25661-3602
(304) 784-7165

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114484
WV
363LF0000X
Family Nurse Practitioner
3018378
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
114484
WV

Other

Enumeration date
09/28/2022
Last updated
11/10/2025
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