Healthcare Provider Details

I. General information

NPI: 1316557341
Provider Name (Legal Business Name): BRITTANY JANEE TAYLOR DNP, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 EUREKA SQ
PACIFICA CA
94044-2607
US

IV. Provider business mailing address

256 29TH ST
SAN FRANCISCO CA
94131-2407
US

V. Phone/Fax

Practice location:
  • Phone: 628-202-6088
  • Fax:
Mailing address:
  • Phone: 313-505-5133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95014437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: