Izzard, Tierra

Izzard, Tierra is an sole proprietor health care provider with primary practice located at 2323 Saint Matthews Rd Ste A , Orangeburg SC 29118-2042. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Izzard, Tierra can be contacted via phone (803) 310-5994.

Contact Information

Primary practice address
2323 Saint Matthews Rd Ste A Orangeburg SC 29118-2042
Phone: (803) 310-5994
Fax: (803) 219-8954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 27313 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 27313 South Carolina

Profile Details

NPI number 1386333714
LBN Legal business name Izzard, Tierra
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2023
Last updated Apr 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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