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NPI Code Detail

MEDICARE: MRS. VERNELL FLOOD TIMMONS ADULT PSYCH APRN

MEDICARE: MRS. VERNELL FLOOD TIMMONS ADULT PSYCH APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0809XAdult Psychiatric/Mental Health Registered NurseRN112394GA
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistRN112394GA

General Provider Information

NPI Number : 1871584888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VERNELL FLOOD TIMMONS ADULT PSYCH APRN
Provider Business Mailing Address
First Line : 367 ATHENS HWY
Second Line : STE 1050
City : LOGANVILLE
State : GA
Zip : 30052-2270
Country : US
Telephone Number : 770-554-2999
Fax Number : 678-353-6979
Provider Business Practice Location Address
First Line : 5030 GEORGIA BELLE CT STE 2036
Second Line :
City : NORCROSS
State : GA
Zip : 30093-2667
Country : US
Telephone Number : 678-209-2756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 04/17/2020

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