Medication Providers

Makenna Francis, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner with over five years of experience providing compassionate, evidence-based mental health care in both in-person and telehealth settings. She specializes in comprehensive psychiatric evaluations, diagnosis, medication management, and supportive therapy for adolescents and adults. Makenna believes in a collaborative, patient-centered approach, taking the time to understand each individual's unique needs while developing personalized treatment plans that promote long-term wellness. She is passionate about creating a welcoming, judgment-free environment where patients feel heard, supported, and empowered to achieve meaningful improvements in their mental health and overall quality of life.

Tiana Gomes, PA-C is a nationally certified Physician Assistant with clinical experience in emergency medicine, otolaryngology (ENT), and psychiatry. She earned her Bachelor of Science from Grand Canyon University before completing her Master of Physician Assistant Studies at Gardner-Webb University. Throughout her education and clinical training, Tiana developed a passion for providing compassionate, evidence-based care and helping patients achieve improved mental wellness.

Her diverse clinical background has shaped a holistic approach to patient care that emphasizes the connection between mental and physical health. She is committed to developing individualized treatment plans and has experience treating a wide range of psychiatric conditions, including anxiety, depression, ADHD, and bipolar disorder. Tiana is passionate about creating a welcoming, supportive, and nonjudgmental environment where patients feel heard, respected, and actively involved in their care. She values building strong therapeutic relationships and works collaboratively with each patient to help them achieve lasting improvements in their mental health and overall quality of life.

Outside of work, Tiana enjoys spending time with her family, traveling, and staying active.

Zachary “Zach” Nussbaum, PA-C, is a nationally certified Physician Assistant with a strong clinical foundation in emergency medicine and a focused passion for psychiatry, addiction medicine, and behavioral health. He earned his Bachelors in Applied Biological Sciences from Arizona State University while gaining hands-on healthcare experience as a physician record assistant in high-acuity emergency settings. This early exposure to frontline medicine instilled in him a deep respect for comprehensive, compassionate patient care.

Zach went on to earn his Master of Medical Science in Physician Assistant Studies from Midwestern University in Glendale, Arizona. During his clinical training, he witnessed the profound impact that timely, empathetic, and evidence-based care could have on individuals facing psychiatric and substance use disorders. This experience solidified his decision to specialize in psychiatry. Zach has provided psychiatric care in outpatient settings as well as higher levels of care including Intensive Outpatient Programs (IOP), Partial Hospitalization Programs (PHP), and Residential Treatment Centers (RTC).

In his free time, Zach enjoys playing ice hockey as a goaltender, watching movies, and spending time with his family and three cats.

Andrew is a dedicated and compassionate Psychiatric Mental Health Nurse Practitioner-Board Certified (PMHNP-BC) with a profound commitment to supporting those in need of mental health care. He earned his undergraduate degree from Northern Arizona University (NAU) and furthered his education with a graduate degree from Wilkes University. After completing his studies, Andrew participated in a prestigious post-graduate residency at the Veterans Affairs (VA) healthcare system, solidifying his expertise and commitment to veteran mental health.

Having experience as a registered nurse at a behavioral health hospital, Andrew has worked extensively with individuals facing mental health challenges including Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), and Major Depressive Disorder (MDD). His empathetic approach ensures that each patient is treated with the utmost respect and care, fostering a safe environment for healing and growth. He has a keen interest in innovative treatment methods, specifically ketamine treatment, as an emerging option for patients struggling with treatment-resistant mental health conditions.

Andrew is an avid musician, finding joy in playing both the guitar and piano. He also spends his time traveling and creating lasting memories with his family and friends. A lover of the outdoors, he enjoys rock-climbing and hiking.

With a blend of professional expertise and personal passion, Andrew is committed to making a positive impact in the lives of his patients and the community, particularly for veterans who deserve exceptional care and support.