Healthcare Provider Details

I. General information

NPI: 1255284212
Provider Name (Legal Business Name): TAYLOR ERIN JANES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 N MICHIGAN AVE
MARSHALL IL
62441-5307
US

IV. Provider business mailing address

1318 N MICHIGAN AVE
MARSHALL IL
62441-5307
US

V. Phone/Fax

Practice location:
  • Phone: 877-726-6494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.034290
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: