Individual
GWENDOLYN JORDAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
940-C GA HWY 96, SAME, WARNER ROBINS, GA 31088
(478) 988-7100
(478) 988-6847
Mailing address
940-C GA HWY 96, SAME, WARNER ROBINS, GA 31088
(478) 988-7100
(478) 988-6847
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN164195
GA
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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