Individual
TAYLER MANDALAY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
113 S PERRY ST STE 206, LAWRENCEVILLE, GA 30046-4811
(404) 492-8240
(470) 809-9643
Mailing address
2810 GEORGIA ASTER WAY NW, ATLANTA, GA 30318-6897
(470) 990-5647
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN296007
GA
Other
Enumeration date
08/13/2025
Last updated
04/03/2026
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