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NPI Code Detail

MEDICARE: TAYLOR NICOLE KNESE MSN, FNP-C

MEDICARE:   TAYLOR NICOLE KNESE  MSN, 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
1363LF0000XFamily Nurse PractitionerAP139146TX
2363LF0000XFamily Nurse PractitionerC-APN.0001277-C-NPCO

General Provider Information

NPI Number : 1235605007
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR NICOLE KNESE MSN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 746081
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6081
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 1855 TELSTAR DR # A02
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1005
Country : US
Telephone Number : 719-533-8586
Fax Number : 719-265-3019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2018
Last Update Date : 03/04/2025

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Directions to “ TAYLOR NICOLE KNESE MSN, FNP-C” Practice Location

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