Individual
MRS. SHEMEKA CHANDRAE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
(662) 342-1112
(662) 342-1116
Mailing address
2149 STATELINE RD W, SOUTHAVEN, MS 38671-1222
(662) 342-1112
(662) 342-1116
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
03/24/2026
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