MEDICARE: KENYA NAVIN SAYLES 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
1	363LF0000X	Family Nurse Practitioner	RN309675	GA

General Provider Information

NPI Number	:	1225890429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYA NAVIN SAYLES FNP

Provider Business Mailing Address
First Line	:	5670 OLD WINDER HWY STE 101
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-1239
Country	:	US
Telephone Number	:	770-709-6922
Fax Number	:	770-709-6910

Provider Business Practice Location Address
First Line	:	5670 OLD WINDER HWY STE 101
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-1239
Country	:	US
Telephone Number	:	770-709-6922
Fax Number	:	770-709-6910

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

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	01/13/2026

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