Taylor, Delisha Brantley

Taylor, Delisha Brantley is an individual health care provider with primary practice located at 189 Jefferson Pkwy , Newnan GA 30263-5823. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Taylor, Delisha Brantley can be contacted via phone (770) 304-2220.

Contact Information

Primary practice address
189 Jefferson Pkwy Newnan GA 30263-5823
Phone: (770) 304-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN145142 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN145142 Georgia

Profile Details

NPI number 1215912670
LBN Legal business name Taylor, Delisha Brantley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jun 18th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215912670 NPPES
Georgia MEDICAID 195004703B

Popular Providers