Healthcare Provider Details

I. General information

NPI: 1912856469
Provider Name (Legal Business Name): ALICIA TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALICIA CROSSON-TAYLOR

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 GOLDEN PLUM LN
ZEBULON NC
27597-3705
US

IV. Provider business mailing address

401 GOLDEN PLUM LN
ZEBULON NC
27597-3705
US

V. Phone/Fax

Practice location:
  • Phone: 919-271-8731
  • Fax:
Mailing address:
  • Phone: 919-271-8731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: