Healthcare Provider Details

I. General information

NPI: 1154291649
Provider Name (Legal Business Name): LASHARRIA TAYLOR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 SANDY PLAINS RD STE 150
MARIETTA GA
30066-7222
US

IV. Provider business mailing address

1772 SOAPSTONE CT
DECATUR GA
30034-6910
US

V. Phone/Fax

Practice location:
  • Phone: 770-273-4488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN287778
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: