TAYLER MANDALAY JORDAN PMHNP-BC - NPI 1902782048 - Nurse Practitioner in Lawrenceville, GA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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About Tayler Mandalay Jordan Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLER MANDALAY JORDAN PMHNP-BC (NPI 1902782048) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (RN296007) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1902782048

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTAYLER MANDALAY JORDANCredential: PMHNP-BC

Location Address113 S PERRY ST STE 206Lawrenceville, GA 30046-4811

Mailing Address2810 Georgia Aster Way NwAtlanta, GA 30318-6897 · (470) 990-5647

Phone(404) 492-8240

Fax(470) 809-9643

Sole ProprietorYes

Enumeration DateAugust 13, 2025

Last NPPES UpdateApril 3, 20262 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1902782048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN296007

113 S PERRY ST STE 206, Lawrenceville, GA 30046

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