Healthcare Provider Details

I. General information

NPI: 1700520319
Provider Name (Legal Business Name): TAYLOR FLOYD HIGHTOWER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 22ND ST S
BIRMINGHAM AL
35233-3110
US

IV. Provider business mailing address

2120 BLUE RIDGE BLVD
HOOVER AL
35226-3132
US

V. Phone/Fax

Practice location:
  • Phone: 205-801-7474
  • Fax:
Mailing address:
  • Phone: 706-580-8456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1-164721
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-164721
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: