Tierra Izzard, PMHNP-BC | |
2323 Saint Matthews Rd Ste A, Orangeburg, SC 29118-2042 | |
(803) 310-5994 | |
(803) 219-8954 |
Full Name | Tierra Izzard |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 2323 Saint Matthews Rd Ste A, Orangeburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386333714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 27313 (South Carolina) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 27313 (South Carolina) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
Entity Name | Limitless Health Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225532476 PECOS PAC ID: 3274889720 Enrollment ID: O20180713000437 |
Mailing Address | Practice Location Address |
---|---|
Tierra Izzard, PMHNP-BC 2323 Saint Matthews Rd Ste A, Orangeburg, SC 29118-2042 Ph: (803) 310-5994 | Tierra Izzard, PMHNP-BC 2323 Saint Matthews Rd Ste A, Orangeburg, SC 29118-2042 Ph: (803) 310-5994 |
Catherine Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115 Phone: 843-701-6387 | |
Shannon W Easterlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-3118 | |
Monica Monique Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Constance Gainey Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200 | |
Vincent Bernard Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 | |
Ms. Erica Thompson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118 Phone: 803-535-3600 | |
Cortney Powell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-7242 Fax: 803-747-7243 |