Tresselyn Douglas Adams, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Rome, GA
NPI 1104051168 · NPPES record last updated Jun 14, 2019
Key facts
- NPI
- 1104051168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN112304 (GA)
- Practice address
- 1345 Redmond Cir NW
Rome, GA 30165-1307 - Phone
- (910) 742-9243
- Fax
- (888) 746-1787
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN112304 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN112304 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN112304 | GA | Yes |
Addresses
Primary practice location
1345 Redmond Cir NW
Rome, GA 30165-1307
Mailing address
PO Box 538622
Atlanta, GA 30353-8622
Phone (910) 742-9243
Other practice location 1
1007 Memorial Dr
Griffin, GA 30223-4445
Phone (770) 467-4715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1108140 | Other | FAMILY NURSE PRATITIONER CERTIFIED |
Other providers in Rome, GA
- Activekidz and Adult Therapy Services
- Julius Tyler Adams
- Larry Stephen Adams Jr.
- Peter David Adams
- Shabonjoli Precious Adams
- Rana Muhammad Adeel
- Olubusayo Adesanya
- Ademola Aderemi Adeseye
- Amelia Rose Adkins
- Advance Rehabilitation & Consulting Limited Partnership
All providers in Rome, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.