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NPI Code Detail

MEDICARE: MRS. YURI AYANA TAYLOR FNP

MEDICARE: MRS. YURI AYANA TAYLOR FNP
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
1363LF0000XFamily Nurse PractitionerRN227703GA

General Provider Information

NPI Number : 1043739477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YURI AYANA TAYLOR FNP
Provider Business Mailing Address
First Line : 2994 ATLANTA RD SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-3655
Country : US
Telephone Number : 404-694-0194
Fax Number :
Provider Business Practice Location Address
First Line : 2994 ATLANTA RD SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-3655
Country : US
Telephone Number : 770-435-2178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 07/21/2022

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