Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tayler Mandalay Jordan, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902782048

Tayler Mandalay Jordan, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

113 S Perry St Ste 206
Lawrenceville, GA 30046-4811
Phone: (404) 492-8240
Fax: (470) 809-9643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN296007 (GA)

Record details

NPI number1902782048
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 13, 2025
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

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