Individual
JAMIE MICHELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
165 MCCALLUM PL, LIZELLA, GA 31052-3826
(478) 731-5131
Mailing address
165 MCCALLUM PL, LIZELLA, GA 31052-3826
(478) 731-5131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05200975
GA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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