MEDICARE: JANYNA TAYLOR CNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	CN0014229641	GA

General Provider Information

NPI Number	:	1245116243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANYNA TAYLOR CNA

Provider Business Mailing Address
First Line	:	2702 ARBOR DR
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-7572
Country	:	US
Telephone Number	:	470-805-6093
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 ARBOR DR
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-7572
Country	:	US
Telephone Number	:	470-805-6093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	08/14/2025

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