MEDICARE: NATASHA CHERRY-ANN TAYLOR RN, BSN

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	163W00000X	Registered Nurse	369997	NC

General Provider Information

NPI Number	:	1093667842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA CHERRY-ANN TAYLOR RN, BSN

Provider Business Mailing Address
First Line	:	5716 CHERRYSTONE RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-1399
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5716 CHERRYSTONE RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-1399
Country	:	US
Telephone Number	:	912-332-0772
Fax Number	:

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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