Individual provider · NPI-1
Taylor Ponder Shiver, FNP-C
Nurse Practitioner, Family · Pelham, GA
NPI number1215670385
StatusActive
Last updated in NPPESMay 6, 2025
Details
- NPI
- 1215670385
- Entity type
- Individual (NPI-1)
- Name
- Taylor Ponder Shiver
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2022
- Certification date
- May 6, 2025
- Last updated
- May 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN255327 | GA | Yes |
Practice location
919 Gilliard RdPelham, GA 31779-4215
Phone 229-327-7349
Mailing address
919 Gilliard RdPelham, GA 31779-4215
Phone 229-327-7349
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