Healthcare Provider Details

I. General information

NPI: 1194655936
Provider Name (Legal Business Name): TAYLOR JAYE HARRIS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 W ROYAL HUNTE DR STE 3
CEDAR CITY UT
84720-8352
US

IV. Provider business mailing address

1148 NORTHFIELD RD UNIT 3
CEDAR CITY UT
84721-3866
US

V. Phone/Fax

Practice location:
  • Phone: 435-586-3402
  • Fax:
Mailing address:
  • Phone: 702-566-6732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11605765-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: