Individual
YARVARIOUS TARVETT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1200 BROOKSTONE CENTRE PKWY STE 226, COLUMBUS, GA 31904-2988
(706) 653-2889
(706) 494-8220
Mailing address
1200 BROOKSTONE CENTRE PKWY STE 226, COLUMBUS, GA 31904-2988
(706) 653-2889
(706) 494-8220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN196763
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP196763
GA
Other
Enumeration date
08/01/2017
Last updated
10/31/2025
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