TIERRA IZZARD

ORANGEBURG, SC
NPI1386333714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: SC  27313)
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: SC  27313)
Enumeration Date2023-05-02
Last Update Date2024-04-08
Business Address
TIERRA IZZARD PMHNP-BC
2323 SAINT MATTHEWS RD STE A
ORANGEBURG, SC 29118-2042
Phone number: 803-310-5994
Mailing Address
TIERRA IZZARD PMHNP-BC
2323 SAINT MATTHEWS RD STE A
ORANGEBURG, SC 29118-2042
Phone number: 803-310-5994