Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Petrino Pernette Pierce, RN

Individual provider Registered Nurse · NPI 1508665761

Petrino Pernette Pierce, RN is an Undefined Non-Physician Type (Specify) in Woodstock, Georgia. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and Mississippi.

Years since qualifying
9
Licensed in
GA, MS
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

211 Payton Pl
Woodstock, GA 30188-3185
Phone: (662) 854-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2874 Hickory Flat Hwy, Woodstock, GA 30188 — (678) 832-8065

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN233369 (GA)
Registered Nurse Taxonomy 163W00000X · Licence R886079 (MS)

Record details

NPI number1508665761
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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