Individual
MS. TAYLER KRISTINA MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGPNP- C, APRN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2996 NAPPA TRL, STONE MOUNTAIN, GA 30087-4141
(678) 332-1099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
259836
GA
363LA2200X
Adult Health Nurse Practitioner
259836
GA
363LG0600X
Gerontology Nurse Practitioner
259836
GA
Other
Enumeration date
04/15/2019
Last updated
10/18/2020
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