Healthcare Provider Details

I. General information

NPI: 1184438756
Provider Name (Legal Business Name): TAYLA CLAY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7474 HIGHWAY 45 ALT N
WEST POINT MS
39773-7981
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 662-575-0057
  • Fax:
Mailing address:
  • Phone: 870-347-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number906716
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: