MEDICARE: MS. TINA M TAYLOR ARNP-C

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	363L00000X	Nurse Practitioner	16480	TN
2	363L00000X	Nurse Practitioner	ARNP9203458	FL

General Provider Information

NPI Number	:	1265664031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TINA M TAYLOR ARNP-C

Provider Business Mailing Address
First Line	:	333 COMMERCE ST
Second Line	:	STE. 700
City	:	NASHVILLE
State	:	TN
Zip	:	37201-1826
Country	:	US
Telephone Number	:	615-913-5086
Fax Number	:	888-494-2588

Provider Business Practice Location Address
First Line	:	4830 W KENNEDY BLVD
Second Line	:	SUITE 600
City	:	TAMPA
State	:	FL
Zip	:	33609-2564
Country	:	US
Telephone Number	:	813-498-0260
Fax Number	:	855-739-9928

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

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	09/26/2016

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