Individual
AUDREA LACEY LANDERS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
401 WILSON AVE, TULLAHOMA, TN 37388-3357
(931) 580-2787
Mailing address
109 HAMPSHIRE RD, SHELBYVILLE, TN 37160-9503
(931) 580-2787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30492
TN
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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