Individual
KRISTIE D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
815 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 839-1333
(706) 827-5083
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN101845
GA
364SP0200X
Pediatric Clinical Nurse Specialist
101845
GA
Other
Enumeration date
07/06/2010
Last updated
05/06/2020
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