Mary Vessel, PMHNP | |
2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | |
(770) 939-1288 | |
Not Available |
Full Name | Mary Vessel |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053880849 | NPI | - | NPPES |
003214635A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN165645 (Georgia) | Primary |
Entity Name | Highland Rivers Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Mailing Address | Practice Location Address |
---|---|
Mary Vessel, PMHNP 652 Ormewood Ave Se, Atlanta, GA 30312-3618 Ph: (404) 759-5262 | Mary Vessel, PMHNP 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 Ph: (770) 939-1288 |
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