Patience Tajelleh

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9519840 Issued in FL

Practice address

215 Chestnut Dr
Brunswick, GA 31523-8954

Phone

(904) 829-4484

Fax

(904) 829-4484

NPI assigned

Dec 12, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care4U Living Services, LLC

  • In Home Supportive Care Agency
  • Brunswick, GA
  • NPI 1023984259
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1073477170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CHESTNUT DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315238954",
            "telephone_number": "904-829-4484",
            "fax_number": "904-829-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CHESTNUT DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315238954",
            "telephone_number": "904-829-4484",
            "fax_number": "904-829-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJELLEH",
        "first_name": "PATIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "9519840",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9519840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Plastic Surgery
• Surf and Sand Pediatrics
• Surfside Kids Pediatric Dentistry P.C.
• Ralph Wade Swann Jr., MD
• Montana Swanson, DPT
• Tamsyn O'Flynn, Aprn
• Olga Fundyler Tate, M.D.
• Nathaniel Scott Taylor, MD
• Ronnie Christopher Taylor, D.C.
• Wanda Taylor, RN

• Registered Nurse in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.