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NPI Code Detail

MEDICARE: TAYLOR HYSELL

MEDICARE: TAYLOR HYSELL
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
1363LF0000XFamily Nurse Practitioner3014839KY

General Provider Information

NPI Number : 1093311938
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR HYSELL
Provider Business Mailing Address
First Line : 2620 ELM HILL PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5533 NEW CUT RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-4329
Country : US
Telephone Number : 304-593-5233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2020
Last Update Date : 01/18/2021

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Directions to “ TAYLOR HYSELL ” Practice Location

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