Individual provider · Type 1 NPI

Ashley Tierra Waller, MSN, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Augusta, GA

NPI number 1033008180 Active

Practice location

3633 Wheeler Rd Ste 365
Augusta, GA 30909-6549

Mailing address

209 W Haven Dr
Kathleen, GA 31047-3122

Other practice locations

  • 516 E Nizhoni Blvd, Gallup, NM 87301-5748 · (505) 722-1000

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN-NP286520 (GA)
Medical-Surgical Registered Nurse 163WM0705XRN286520 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1033008180

Ashley Tierra Waller, MSN, APRN, PMHNP-BC's National Provider Identifier is 1033008180, issued on Jul 2, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Augusta, GA. The record was last updated on Sep 17, 2026.