Tara Phelps Gulsby, NP-C Valid NPI

Individual provider · Nurse Practitioner · Loganville, GA

NPI

1568897767

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

RN209319 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2013-09-06

Last updated

2022-08-09