MEDICARE: TAYLOR TYSINGER PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	201901679NP-PP	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093272759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR TYSINGER PMHNP

Provider Business Mailing Address
First Line	:	103 N GREEN ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-3466
Country	:	US
Telephone Number	:	704-322-0863
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 N GREEN ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-3466
Country	:	US
Telephone Number	:	704-322-0863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2019
Last Update Date	:	12/03/2025

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