Healthcare Provider Details

I. General information

NPI: 1063348779
Provider Name (Legal Business Name): TAYLOR BOSHEERS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 COBB PKWY
RINGGOLD GA
30736-8566
US

IV. Provider business mailing address

7615 OOLTEWAH GEORGETOWN RD
OOLTEWAH TN
37363-9397
US

V. Phone/Fax

Practice location:
  • Phone: 706-891-1200
  • Fax: 706-891-1202
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN283958
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: