MEDICARE: MARCI LYNN TAYLOR-KNEE DNP, PMHNP-BC

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	AP61476271	WA

General Provider Information

NPI Number	:	1861272429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCI LYNN TAYLOR-KNEE DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 231
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-7141
Country	:	US
Telephone Number	:	360-846-6995
Fax Number	:	360-841-7131

Provider Business Practice Location Address
First Line	:	1339 COMMERCE AVE STE 316
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-3733
Country	:	US
Telephone Number	:	360-846-6995
Fax Number	:

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

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	05/26/2026

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