Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITZI BRADDOCK TYRE, FNP
Active Sole ProprietorMITZI BRADDOCK TYRE, FNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in WAYCROSS, Georgia. NPI 1396983227 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · WAYCROSS, GA
Registration Details
- NPI Number
- 1396983227
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2009 (17.520370231677 yrs)
- Last Updated
- Aug 20, 2024
- Licenses
-
RN170702 (GA)RN170702 (GA)RN170702 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1007 MARY STWAYCROSS, GA, 315033823Browse GA providers · Browse ZIP 31503
- Phone
- 9123877737
- Fax
- 9124497080
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in WAYCROSS, GA
| Name | Credential | NPI |
|---|---|---|
| TARA D SMITH | APRN,FNP-C, PMHNP-BC | 1134505118 |
| MRS. LAURINE PORTER JONES | FNP | 1932624053 |
| TANYA D MILLER | FAMILY NURSE PRACTIT | 1750855599 |
| JESSICA KATE CLARK | APRN | 1417412917 |
| MRS. LATINA N HEARD | PMHNP-BC | 1538734850 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.