MEDICARE: TENEILLE TAYLOR DARLINGTON NP

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
1	363LF0000X	Family Nurse Practitioner	0024188740	VA
2	363LF0000X	Family Nurse Practitioner	11770	WV

General Provider Information

NPI Number	:	1043083900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TENEILLE TAYLOR DARLINGTON NP

Provider Business Mailing Address
First Line	:	1314 14TH ST NW FRNT B
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-3878
Country	:	US
Telephone Number	:	202-506-6868
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 14TH ST NW FRNT B
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-3878
Country	:	US
Telephone Number	:	202-506-6868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	06/13/2025

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