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NPI Code Detail

MEDICARE: LORI TAYLOR PHD, DNP, FNP-C

MEDICARE:   LORI  TAYLOR  PHD, DNP, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPN20922TN

General Provider Information

NPI Number : 1033576798
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI TAYLOR PHD, DNP, FNP-C
Provider Business Mailing Address
First Line : 15 OLD HUMBOLDT RD STE D
Second Line :
City : JACKSON
State : TN
Zip : 38305-3506
Country : US
Telephone Number : 731-265-6456
Fax Number :
Provider Business Practice Location Address
First Line : 15 OLD HUMBOLDT RD STE D
Second Line :
City : JACKSON
State : TN
Zip : 38305-3506
Country : US
Telephone Number : 731-256-6456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 12/08/2023

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Directions to “ LORI TAYLOR PHD, DNP, FNP-C” Practice Location

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