Healthcare Provider Details

I. General information

NPI: 1962095273
Provider Name (Legal Business Name): TAYLOR R PERKINS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR PRICE PMHNP-BC

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 N HIGHWAY 25 W STE 100
WILLIAMSBURG KY
40769-1576
US

IV. Provider business mailing address

PO BOX 247
JELLICO TN
37762-0247
US

V. Phone/Fax

Practice location:
  • Phone: 606-549-2930
  • Fax: 423-784-7001
Mailing address:
  • Phone: 606-549-2930
  • Fax: 606-549-3036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3014542
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28603
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3014542
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: