person
Stefanie Tiera Livingston, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Grovetown, Georgia
NPI 1487015376

Stefanie Tiera Livingston is a Psychiatric/Mental Health Nurse Practitioner based in Winston Salem, GA and is specialized in Psychiatric/Mental Health. Stefanie Tiera Livingston practices in Grovetown, GA and has the professional credentials of PMHNP. The NPI Number for Stefanie Tiera Livingston is 1487015376 and holds a License No. 5008450 (Georgia).

The current practice location address for Stefanie Tiera Livingston is 4039 Gateway Blvd, Grovetown, GA and can be reached out via phone at 770-389-8100.

Location: 4039 Gateway Blvd, Grovetown, GA, 27127-5996
person
Provider Profile Details
NPI Number
1487015376
Provider Name
Stefanie Tiera Livingston
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
4039 Gateway Blvd, Grovetown, GA, 27127-5996
Phone Number
770-389-8100
Fax Number
Provider Enumeration Date
03/19/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
4039 Gateway Blvd
City
State
Zip
30813-3389
Phone Number
770-389-8100
Fax Number
person
Provider Business Mailing Address Details
Address
4039 Gateway Blvd
City
State
Zip
30813-3389
Phone Number
770-389-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
5008450 (North Carolina)
Definition
Definition to come...
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