Healthcare Provider Details

I. General information

NPI: 1255250627
Provider Name (Legal Business Name): TAYLOR MOORE APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLENTANGY RIVER RD
COLUMBUS OH
43212-3153
US

IV. Provider business mailing address

7313 MAPLELEAF BLVD
COLUMBUS OH
43235-4223
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-0010
  • Fax:
Mailing address:
  • Phone: 419-309-0115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0042666
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: