Healthcare Provider Details

I. General information

NPI: 1083286876
Provider Name (Legal Business Name): TAYLER LYNNE YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 CLARENDON BLVD STE 508
ARLINGTON VA
22201-5445
US

IV. Provider business mailing address

2100 CLARENDON BLVD STE 508
ARLINGTON VA
22201-5445
US

V. Phone/Fax

Practice location:
  • Phone: 703-228-4218
  • Fax: 703-228-0800
Mailing address:
  • Phone: 703-228-4218
  • Fax: 703-228-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024185997
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP500005635
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: