Individual provider · Type 1 NPI

Mirandi Taylor

Nurse Practitioner · Douglas, GA

NPI number 1477419646 Active

Practice location

1101 Ocilla Rd
Douglas, GA 31533-2262

Mailing address

10 Cypress Hill Cir
Hazlehurst, GA 31539-8204

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP289537 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477419646

Mirandi Taylor's National Provider Identifier is 1477419646, issued on Dec 31, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Douglas, GA. The record was last updated on Dec 31, 2025.