Taylor Nicole Fiveash, FNP-C

NPI #1962922427 in Valdosta, Georgia

Provider Information

NPI Number
1962922427
Entity Type
Individual
Name
Taylor Nicole Fiveash, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Credential
FNP-C
Enumeration Date
Jun 26, 2017
Last Updated
Jan 28, 2019

Practice Location

Address
101 W NORTHISDE DR, BLDG G
State
Georgia
ZIP Code
31602
Phone
(912) 384-0600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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