Individual
DR. TIERRA SIMONE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7349
(770) 474-8400
(770) 474-3738
Mailing address
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7349
(770) 474-8400
(770) 474-3738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN216891
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN216891
GA
Other
Enumeration date
03/09/2015
Last updated
01/25/2022
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