Healthcare Provider Details

I. General information

NPI: 1134755564
Provider Name (Legal Business Name): TAYLOR ANN DOYLE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR WILLIAMS

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 CLINCH AVE
KNOXVILLE TN
37916-2307
US

IV. Provider business mailing address

602 ELK FALLS LN
KNOXVILLE TN
37922-3705
US

V. Phone/Fax

Practice location:
  • Phone: 865-541-1111
  • Fax:
Mailing address:
  • Phone: 865-776-5051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number209262
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number28206
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: