Individual
MRS. SHEMEKA CHANDRAE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1669 STATELINE RD W STE B, SOUTHAVEN, MS 38671-1223
(662) 470-4710
(662) 367-8831
Mailing address
1669 STATELINE RD W STE B, SOUTHAVEN, MS 38671-1223
(662) 470-4710
(662) 367-8831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
904461
ME
363L00000X
Nurse Practitioner
Primary
904461
MS
363LF0000X
Family Nurse Practitioner
904461
MS
Other
Enumeration date
02/24/2021
Last updated
06/16/2026
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