Healthcare Provider Details

I. General information

NPI: 1437075868
Provider Name (Legal Business Name): TAYLOR FOX BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1839 E INDEPENDENCE ST APT K
SPRINGFIELD MO
65804-3753
US

IV. Provider business mailing address

1035 GOLDENROD RD
OZARK MO
65721-8197
US

V. Phone/Fax

Practice location:
  • Phone: 417-881-7442
  • Fax:
Mailing address:
  • Phone: 417-920-6202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: