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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215912670 | NPPES |
Georgia | MEDICAID | 195004703B |
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