MEDICARE: MS. LASHARRIA TAYLOR NP

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	363LF0000X	Family Nurse Practitioner	RN287778	GA

General Provider Information

NPI Number	:	1154291649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LASHARRIA TAYLOR NP

Provider Business Mailing Address
First Line	:	1772 SOAPSTONE CT
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30034-6910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 SANDY PLAINS RD STE 150
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-7222
Country	:	US
Telephone Number	:	770-273-4488
Fax Number	:

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

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	06/10/2026

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