Individual provider · Type 1 NPI

Samantha Joi Tait, DNP, CPNP-PC

Pediatric Nurse Practitioner · Covington, GA

NPI number 1093604985 Active

Practice location

4152 Baker St NE
Covington, GA 30014-1404

Mailing address

4541 Springwood Dr
Monroe, GA 30655-8395

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN308453 (GA)

Pediatric Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1093604985

Samantha Joi Tait, DNP, CPNP-PC's National Provider Identifier is 1093604985, issued on Jul 2, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Covington, GA. The record was last updated on Jul 2, 2025.