Provider Demographics
NPI:1982199345
Name:BURTS, CIERA (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:CIERA
Middle Name:
Last Name:BURTS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 ASTER IVES DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-2263
Mailing Address - Country:US
Mailing Address - Phone:404-539-3200
Mailing Address - Fax:
Practice Address - Street 1:2815 CLEARVIEW PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-2131
Practice Address - Country:US
Practice Address - Phone:678-805-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2019-02-20
Deactivation Date:2018-11-15
Deactivation Code:
Reactivation Date:2019-02-18
Provider Licenses
StateLicense IDTaxonomies
GARN224288363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health