Healthcare Provider Details

I. General information

NPI: 1629903091
Provider Name (Legal Business Name): SAYLOR IVESTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2406 LIGHTHOUSE MANOR DR
GAINESVILLE GA
30501-7401
US

IV. Provider business mailing address

618 SHIRLEY GROVE RD
CLARKESVILLE GA
30523-1917
US

V. Phone/Fax

Practice location:
  • Phone: 678-928-4268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: