MEDICARE: TAYLOR ANN STOCKER 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
1	363L00000X	Nurse Practitioner	4704273942	MI

General Provider Information

NPI Number	:	1326799016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ANN STOCKER FNP-C

Provider Business Mailing Address
First Line	:	1201 STONE ST STE 3
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3563
Country	:	US
Telephone Number	:	810-985-5000
Fax Number	:	810-985-3700

Provider Business Practice Location Address
First Line	:	1201 STONE ST STE 3
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3563
Country	:	US
Telephone Number	:	810-985-5000
Fax Number	:

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

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	02/25/2026

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Directions to “ TAYLOR ANN STOCKER FNP-C” Practice Location

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