| Doctor Name: | MRS. PHYLLIS NADEAU LANDERS |
| NPI Number: | 1306027255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN096607 |
| Business Practice Address: | 4222 Fairbanks Dr Oakwood, GA - 305662811 |
| Business Phone Number: | 7705346053 |
| Business Fax Number: | 7705346695 |
| Mailing Address: | Po Box 658, GAINESVILLE |
| State: | GA |
| Postal Code: | 305030658 |
| Phone Number: | 7707181122 |
| Fax Number: | 7705357445 |
| NPI Enumeration Date: | 11/20/2007 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN096607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |