Samantha Joi Tait, DNP, CPNP-PC Valid NPI
Individual provider · Pediatric Nurse Practitioner · Covington, GA
- NPI
- 1093604985
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0200X
- License number
- RN308453 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2025-07-02
- Last updated
- 2025-07-02
Practice location
4152 Baker St Ne
Covington, GA 30014-1404
(770) 788-1077