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NPI Code Detail

MEDICARE: MS. ASHLEY AURELIA TAYLOR MSN, A-GNP-C,PMHNP

MEDICARE: MS. ASHLEY AURELIA TAYLOR MSN, A-GNP-C,PMHNP
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 Practitioner26NJ00887700NJ
2363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00887700NJ

General Provider Information

NPI Number : 1043781362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY AURELIA TAYLOR MSN, A-GNP-C,PMHNP
Provider Business Mailing Address
First Line : 204 MIDLAND PL
Second Line :
City : NEWARK
State : NJ
Zip : 07106-3311
Country : US
Telephone Number : 908-906-0466
Fax Number :
Provider Business Practice Location Address
First Line : 201 LYONS AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07112-2027
Country : US
Telephone Number : 973-926-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2018
Last Update Date : 12/18/2025

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