Individual
MS. DELISHA BRANTLEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5674 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3254
(770) 322-6161
(770) 322-6191
Mailing address
5674 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3254
(770) 322-6161
(770) 322-6191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN145142
GA
363LP0200X
Pediatric Nurse Practitioner
RN145142
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195004703B
—
GA
Enumeration date
12/08/2005
Last updated
10/08/2025
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