Fiveash, Taylor Nicole

Fiveash, Taylor Nicole is an individual health care provider with primary practice located at 101 W Northisde Dr, Bldg G , Valdosta GA 31602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Fiveash, Taylor Nicole can be contacted via phone (912) 384-0600.

Contact Information

Primary practice address
101 W Northisde Dr, Bldg G Valdosta GA 31602
Phone: (912) 384-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 230599 Georgia

Profile Details

NPI number 1962922427
LBN Legal business name Fiveash, Taylor Nicole
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Jan 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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