TESSA MICHE' GERENA-DIAZ


Address: 1500 Holly Manor Dr, Loganville, GA 30052-5148
Phone: 6785967088

TESSA MICHE' GERENA-DIAZ (NPI# 1376021840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376021840
Entity Type Individual
Full Name TESSA MICHE' GERENA-DIAZ
Credential FNP-C
Practice Address 1500 Holly Manor Dr
Loganville
GA 30052-5148
Practice Telephone 6785967088
Mailing Telephone 6785967088
Enumeration Date 2018-08-06
Last Update Date 2018-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN160820 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1500 HOLLY MANOR DR
City LOGANVILLE
State GA
Zip Code 30052-5148

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1598243024 Afolasade A Adeyemo In Home Supportive Care 154 Towler Shoals Dr, Loganville, GA 30052 2018-08-06
1831688654 Julia Smith Physician Assistant 2745 Loganville Hwy, Loganville, GA 30052 2018-05-07
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1346738655 Laura Martha Avila Nurse Practitioner 221 The Esplanade Way Se, Loganville, GA 30052 2018-04-23
1942738901 Local Dental Partners, LLC Clinic/Center 4353 Atlanta Highway Suite. 300, Loganville, GA 30052 2017-06-02
1649702804 Cynthia Reeves Counselor 4160 Logan Drive, Loganville, GA 30052 2017-03-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396342309 Melissa Lynn Scaparo Nurse Practitioner 3685 Anglin Rd, Loganville, GA 30052-4688 2020-10-02
1134733199 Jesty Boby Nurse Practitioner 751 Autumn Meadow Dr, Loganville, GA 30052-7934 2020-09-07
1720617756 Corwin Oswald Demattos Nurse Practitioner 4068 Elm Trace Dr, Loganville, GA 30052-5942 2020-04-02
1699306696 Sonya Pedro Nurse Practitioner 3668 Park Hill Cir, Loganville, GA 30052-8408 2020-01-29
1003463365 Katie Peper Nurse Practitioner E5139 Hillcrest Dr, Loganville, WI 53943-9719 2019-08-21
1487122065 Tracey M Fortner Nurse Practitioner 1103 Mason Lee Ave, Loganville, GA 30052-8635 2018-11-13
1992293997 Myrlande Cayo Taylor Nurse Practitioner 3838 Elm Trace Dr, Loganville, GA 30052-8769 2018-04-25
1346738655 Laura Martha Avila Nurse Practitioner 221 The Esplanade Way Se, Loganville, GA 30052 2018-04-23
1386144376 Nashana Powe Nurse Practitioner 961 Yancey Ct, Loganville, GA 30052-9092 2018-02-15
1467963942 Ina Vate Nurse Practitioner 3255 Tig Knight Rd., Loganville, GA 30052-3005 2017-10-24
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Competitor

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City LOGANVILLE
Zip Code 30052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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