Individual
MRS. CLARE TUCKER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN233032
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
CASH PAY SERVICES
—
Enumeration date
01/26/2020
Last updated
08/18/2021
Update your record
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