Tammy Rena Taylor Valid NPI

Individual provider · Licensed Practical Nurse · Fayetteville, GA

NPI

1023715505

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

LPN078353 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2023-02-14

Last updated

2023-02-19