Provider Demographics
NPI:1851826739
Name:TAYLOR, KIRSTEN ANDERSON (NP)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:ANDERSON
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1301 HIGHTOWER TRL STE 150
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-2971
Mailing Address - Country:US
Mailing Address - Phone:404-497-1830
Mailing Address - Fax:404-497-1828
Practice Address - Street 1:1301 HIGHTOWER TRL STE 150
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2971
Practice Address - Country:US
Practice Address - Phone:404-497-1830
Practice Address - Fax:404-497-1828
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN216116207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine