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1124978036 NPI number — TAYLOR FLORA WHNP-BC

NPI Number: 1124978036
Health Care Provider/Practitioner: TAYLOR FLORA WHNP-BC

Information about “1124978036” NPI (TAYLOR FLORA WHNP-BC) exists in 1124978036 in HTML format HTML  |  1124978036 in plain Text format TXT  |  1124978036 in PDF (Portable Document Format) PDF  |  1124978036 in an XML format XML  formats.

NPI Number : 1124978036 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124978036",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FLORA",
    "FirstName": "TAYLOR",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "WHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FLESHER",
    "OtherFirstName": "TAYLOR",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "WHNP-BC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8517 AVA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63123-3313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-339-9400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "787 SUNSET BLVD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "O FALLON",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62269-1960",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-726-2229",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/30/2026",
    "LastUpdateDate": "02/18/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "2025040824",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "209033821",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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