CMS NPPES uses NUCC taxonomy code 363LW0102X for provider records classified as Women's Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
GA license #234548GA license #RN234548taxonomy 363LW0102X
Nurse Practitioner
CMS NPPES uses NUCC taxonomy code 363LA2200X for provider records classified as Adult Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
GA license #RN234548GA license #234548taxonomy 363LA2200X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Medical school
Vanderbilt University School Of Medicine
Graduation year 2015
Largest Medicare group
458 members
Largest listed enrollment group
Facility affiliations reported by CMS
Memorial Health Partners Foundation Inc
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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