Healthcare Provider Details

I. General information

NPI: 1477409910
Provider Name (Legal Business Name): MS. BRITTANEY P. TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6260 BRIGHTWOOD DR
MEMPHIS TN
38134-7409
US

IV. Provider business mailing address

6260 BRIGHTWOOD DR
MEMPHIS TN
38134-7409
US

V. Phone/Fax

Practice location:
  • Phone: 901-288-9644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number38842
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: