Healthcare Provider Details

I. General information

NPI: 1275493256
Provider Name (Legal Business Name): TAYLOR SCOTT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6211 W WILLIAM CANNON DR STE B
AUSTIN TX
78749-1924
US

IV. Provider business mailing address

6211 W WILLIAM CANNON DR STE B
AUSTIN TX
78749-1924
US

V. Phone/Fax

Practice location:
  • Phone: 512-394-3905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1227112
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: