Provider Demographics
NPI:1972660462
Name:TAYLOR, DEVLIN LEE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:DEVLIN
Middle Name:LEE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:99 JESSE HILL JR DR RM 402
Mailing Address - Street 2:FULTON COUNTY DEPT OF HEALTH AND WELLNESS
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-730-4023
Mailing Address - Fax:404-224-3105
Practice Address - Street 1:99 JESSE HILL JR DR SUITE 310
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-730-4023
Practice Address - Fax:404-224-3105
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN094957163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse