MEDICARE: TAYLOR ALYSSE BILLINGSLEY NP

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	RN300383	GA
2	363L00000X	Nurse Practitioner	5022925	NC

General Provider Information

NPI Number	:	1528865680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ALYSSE BILLINGSLEY NP

Provider Business Mailing Address
First Line	:	229 JOHN LOVELACE RD
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-9523
Country	:	US
Telephone Number	:	702-624-8769
Fax Number	:

Provider Business Practice Location Address
First Line	:	229 JOHN LOVELACE RD
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-9523
Country	:	US
Telephone Number	:	702-624-8769
Fax Number	:

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

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	10/29/2025

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