Individual
MS. TIERRA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6280 GRELOT RD, MOBILE, AL 36609-3614
(251) 288-5606
Mailing address
6280 GRELOT RD, MOBILE, AL 36609-3614
(251) 288-5606
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F12220605
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F12220605
AANP CERTIFICATION
—
Enumeration date
01/05/2023
Last updated
02/28/2023
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