Healthcare Provider Details

I. General information

NPI: 1629766951
Provider Name (Legal Business Name): TAYLOR NEWTON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 S ELLIOTT RD
CHAPEL HILL NC
27514-5827
US

IV. Provider business mailing address

1238 CHANNING PARK CIR
CARY NC
27519-7641
US

V. Phone/Fax

Practice location:
  • Phone: 984-358-6863
  • Fax:
Mailing address:
  • Phone: 407-982-0805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5020408
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: