Individual provider · Type 1 NPI

Tammy Rena Taylor

Licensed Practical Nurse · Fayetteville, GA

NPI number 1023715505 Active

Practice location

110 Brandywine Blvd
Fayetteville, GA 30214-1500

Mailing address

6302 Lamp Post Pl
College Park, GA 30349-8830

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN078353 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1023715505

Tammy Rena Taylor's National Provider Identifier is 1023715505, issued on Feb 14, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fayetteville, GA. The record was last updated on Feb 19, 2023.