Individual
SHELISA RENA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1126 LEE ROAD 250, SALEM, AL 36874-1373
(706) 326-0415
Mailing address
1126 LEE ROAD 250, SALEM, AL 36874-1373
(706) 326-0415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-104844
AL
363LF0000X
Family Nurse Practitioner
209020023
IL
363LF0000X
Family Nurse Practitioner
RN160659
GA
Other
Enumeration date
12/19/2018
Last updated
10/18/2019
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