TIERRA IZZARD-JEFFERY

COLUMBIA, SC
NPI1386333714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC  27313)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: SC  27313)
Enumeration Date2023-05-02
Last Update Date2025-09-25
Business Address
TIERRA IZZARD-JEFFERY PMHNP-BC
113 EXECUTIVE POINTE BLVD STE 104
COLUMBIA, SC 29210-8681
Phone number: 803-573-9453
Mailing Address
TIERRA IZZARD-JEFFERY PMHNP-BC
PO BOX 748465
ATLANTA, GA 30374-8465
Phone number: 855-284-7483