Individual provider · Type 1 NPI

Taidesha Chanel Myrick, NP

Adult Health Nurse Practitioner · Conyers, GA

NPI number 1710711684 Active

Practice location

2035 Flat Shoals Rd SE
Conyers, GA 30013-1809

Mailing address

PO Box 3413
Decatur, GA 30031-3413

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN298582 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1710711684

Taidesha Chanel Myrick, NP's National Provider Identifier is 1710711684, issued on Aug 31, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Conyers, GA. The record was last updated on Aug 31, 2024.