Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tammy Rena Taylor

Individual provider Licensed Practical Nurse · NPI 1023715505

Tammy Rena Taylor is a Licensed Practical Nurse in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
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Practice location Address checks out

110 Brandywine Blvd
Fayetteville, GA 30214-1500
Phone: (770) 461-2928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN078353 (GA)

Record details

NPI number1023715505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 19, 2023
Certification dateFebruary 19, 2023
Mailing address6302 Lamp Post Pl, College Park, GA 30349-8830

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