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Shawana Mitchell Taylor, FNP

Nurse Practitioner, Family in Waycross, GA. Individual provider (NPI-1).

NPI number1164043055
StatusActive
Last updated in NPPESMay 1, 2020

Details

NPI
1164043055
Entity type
Individual (NPI-1)
Name
Mrs. Shawana Mitchell Taylor
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2020
Certification date
May 1, 2020
Last updated
May 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN239880GAYes

Practice location

1115 Porter St
Waycross, GA 31501-5640

Phone 912-550-5458

Mailing address

1115 Porter St
Waycross, GA 31501-5640

Phone 912-550-5458

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